Individual
ELIZABETH ROSE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116018560
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
0116018560
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD60287534
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296408
LABOR AND INDUSTRY
WA
05
—
1972763225
—
WA
01
—
P01123471
RAILROAD MEDICARE
WA
Enumeration date
06/10/2008
Last updated
04/28/2021
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