Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 10780 | ND |
N | 208600000X | Surgeon | 10780 | ND |
Y | 2086X0206X | Surgical Oncologist | 10780 | ND |
NPI | 1386794410 |
---|---|
Provider Name | Dr. Jeffrey L Reha |
First Address | Tripler Army Medical Center, HI 96859-5001 |
Second Address | Tripler Army Medical Center, HI 96859 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 25/08/2018 |