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Individual

DR. VIRGINIA D REYTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9001 N COUNTRY HOMES BLVD, SPOKANE, WA 99218-2072
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
(509) 755-6580

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
054500
GA
208000000X
Pediatrics Physician
12186
NV
208000000X
Pediatrics Physician
Primary
MD60249785
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100511753
NV
01
100511754
MEDICAID
NV
05
748445313A
GA
Enumeration date
06/02/2006
Last updated
03/15/2012
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