Provider Demographics
NPI:1770522302
Name:REINER, SETH ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:ALLEN
Last Name:REINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:200 W COUNTY LINE RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2360
Mailing Address - Country:US
Mailing Address - Phone:303-795-5587
Mailing Address - Fax:303-795-3404
Practice Address - Street 1:200 W COUNTY LINE RD
Practice Address - Street 2:SUITE 330
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2360
Practice Address - Country:US
Practice Address - Phone:303-795-5587
Practice Address - Fax:303-795-3404
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO30030207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01300300Medicaid
CO01300300Medicaid
COE93511Medicare UPIN