Individual
LARRY D BIRGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MANITOBA AVE, SUITE 101, ELLENSBURG, WA 98926-3885
(509) 925-6100
(509) 925-7604
Mailing address
700 E MANITOBA AVE, SUITE 101, ELLENSBURG, WA 98926-3885
(509) 925-6100
(509) 925-7604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60054738
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8892763
MEDICARE PTAN
WA
Enumeration date
09/12/2005
Last updated
03/29/2012
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