Individual
BRIAN J REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST, SEATTLE, WA 98109
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00020775
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6272
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8102477
—
WA
Enumeration date
10/27/2006
Last updated
07/08/2007
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