Individual
DEBRA ANN PRELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0054667
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197837
L & I WORKERS COMP.
WA
01
—
1740242072
MEDICARE
CO
01
—
3126PR
REGENCE BLUESHIELD RIDER
WA
05
—
58836055
—
CO
05
—
8211633
—
WA
01
—
P00279853
RAILROAD MEDICARE
WA
Enumeration date
04/03/2006
Last updated
03/04/2019
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