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NPI Code Detail

MEDICARE: JASON C. REUTTER M.D.

MEDICARE:   JASON C. REUTTER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist200200788NC
2207ZD0900XDermatopathology (Pathology) Physician200200788NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00254161OTHERNCRAILROAD MEDICARE

General Provider Information

NPI Number : 1154316545
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON C. REUTTER M.D.
Provider Business Mailing Address
First Line : 1899 TATE BLVD SE
Second Line : SUITE 1105
City : HICKORY
State : NC
Zip : 28602-4200
Country : US
Telephone Number : 828-322-3821
Fax Number : 828-322-6697
Provider Business Practice Location Address
First Line : 1899 TATE BLVD SE
Second Line : SUITE 1105
City : HICKORY
State : NC
Zip : 28602-4200
Country : US
Telephone Number : 828-322-3821
Fax Number : 828-322-6697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 01/23/2024

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Directions to “ JASON C. REUTTER M.D.” Practice Location

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