Healthcare Provider Details

I. General information

NPI: 1609127844
Provider Name (Legal Business Name): JANET R REISER MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2012
Last Update Date: 12/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7331 E OSBORN DR SUITE 250
SCOTTSDALE AZ
85251-6435
US

IV. Provider business mailing address

7331 E OSBORN DR SUITE 250
SCOTTSDALE AZ
85251-6435
US

V. Phone/Fax

Practice location:
  • Phone: 480-646-8444
  • Fax:
Mailing address:
  • Phone: 480-646-8444
  • Fax: 480-646-8445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JANET R REISER
Title or Position: MD
Credential: MD
Phone: 480-646-8444