Individual
NICHOLAS REITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8100
Mailing address
2811 TIETON DR, YAKIMA, WA 98902-3761
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
175633
CA
207P00000X
Emergency Medicine Physician
MD2019-0886
NM
207P00000X
Emergency Medicine Physician
Primary
MD61515058
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2017
Last updated
07/27/2024
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