Individual
DR. ANDREA MARIE REPPHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 DENNIS ST SW, TUMWATER, WA 98501-5459
(360) 754-6367
(360) 754-6429
Mailing address
150 DENNIS ST SW, TUMWATER, WA 98501-5459
(360) 754-6367
(360) 754-6429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00040230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043383136
NPI
WA
05
—
8286536
—
WA
Enumeration date
11/16/2006
Last updated
03/07/2023
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