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Individual

DR. BLAKE E. REITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9800 LEVIN RD NW, SUITE 102, SILVERDALE, WA 98383-7849
(360) 692-2728
(360) 692-6009
Mailing address
16499 PEARSON POINT RD NE, POULSBO, WA 98370-8058
(360) 271-2846

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00023941
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0217857
LABOR AND INDUSTRIES
WA
01
204509683
US DEPT OF LABOR
WA
01
20450968301
KPS
WA
01
743353001
GROUP HEALTH
WA
05
8156820
WA
01
8719RE
REGENCE
WA
Enumeration date
07/08/2005
Last updated
04/21/2014
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