Individual
ANDREW REZNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 397-3128
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 397-3128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00047724
WA
207RN0300X
Nephrology Physician
Primary
MD00047724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8477283
—
WA
Enumeration date
03/30/2007
Last updated
02/04/2008
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