Mary Kathleen Reilly
Vascular Surgeon
122 W 7th Ave 410 & 420
Spokane
, Washington 99204-2349
Mary Kathleen Reilly
Vascular Surgeon
122 W 7th Ave 410 & 420
Spokane
, Washington 99204-2349
(509) 625-1888
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Mary Kathleen Reilly
- 122 W 7th Ave 410 & 420
- Spokane, WA
- Zip : 99204-2349
- Fax : (509) 625-1888
- Phone : (509) 838-8286
Second Address
- Mary Kathleen Reilly
- 122 W 7th Ave 410 & 420
- Spokane, WA
- Zip : 99204-2349
- Fax : (509) 625-1888
- Phone : (509) 838-8286
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | MD00031808 | WA |
National Provider Identifier
| NPI | 1154385847 |
|---|---|
| Provider Name | Mary Kathleen Reilly |
| First Address | Spokane, WA 99204-2349 |
| Second Address | Spokane, WA 99204-2349 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2006 |
| Last Update Date | 13/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A98923 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.