Individual
DR. GARY L REIBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1804 W 51ST AVE, KENNEWICK, WA 99337-4626
(509) 619-0562
Mailing address
PO BOX 1663, WALLA WALLA, WA 99362-0031
(509) 619-0562
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00028898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036983
—
OR
01
—
050070704
RAILROAD MEDICARE
WA
05
—
1022862
—
WA
Enumeration date
06/16/2005
Last updated
05/18/2021
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