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Individual
MARK THOMAS REIS
Active
Individual
MARK THOMAS REIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
00032312
WA
207X00000X
Orthopaedic Surgery Physician
Primary
G88836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000258
—
OR
01
—
215163
LABOR & IND
WA
05
—
8467847
—
WA
01
—
8943021
CRIME VICTIMS
WA
01
—
FU515Z
MEDICARE
CA
Enumeration date
09/13/2006
Last updated
08/16/2016
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