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Individual

DOMINIC FRANCIS REILLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195-6127
(206) 598-5160
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00027876
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231951
L&I
WA
01
110064469
RAIL ROAD MEDICARE
WA
05
1619052438
WA
01
9492
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/27/2006
Last updated
02/21/2012
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