Individual
ERIC JAMES REBICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6760 W THUNDERBIRD RD STE E110, PEORIA, AZ 85381
(623) 846-7614
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
7858
AZ
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
7858
AZ
207XS0117X
Orthopaedic Surgery of the Spine Physician
OP60828397
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007858
STATE LICENSE
AZ
05
—
1265708929
—
WA
Enumeration date
06/18/2013
Last updated
07/26/2022
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