Individual
PETER REIST EBY
Active
Individual
PETER REIST EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA12101200
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD482330
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272895
DEPT OF LABOR AND INDUSTRIES
WA
01
—
263330
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8395998
—
WA
01
—
P00898818
RAILROAD MEDICARE
WA
Enumeration date
10/27/2006
Last updated
10/31/2024
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