Healthcare Provider Details

I. General information

NPI: 1649243056
Provider Name (Legal Business Name): DAVID CHARLES REUTINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10710 MIDLOTHIAN TURNPIKE STE 200
RICHMOND VA
23235-4759
US

IV. Provider business mailing address

10710 MIDLOTHIAN TPKE STE 200
NORTH CHESTERFIELD VA
23235-4759
US

V. Phone/Fax

Practice location:
  • Phone: 804-897-2100
  • Fax: 804-897-9074
Mailing address:
  • Phone: 804-897-2100
  • Fax: 804-897-9074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101039898
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: