R Tyler Reidenbaugh MD Pllc
NPI #1316421803 in Burien, Washington
Provider Information
- NPI Number
- 1316421803
- Entity Type
- Organization
- Organization Name
- R Tyler Reidenbaugh MD Pllc
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 20, 2018
- Last Updated
- Feb 1, 2019
Practice Location
- Address
- 12101 AMBAUM BLVD SW
- City
- Burien
- State
- Washington
- ZIP Code
- 98146-2651
- Phone
- (206) 244-8100
Authorized Official
- Name
- DR. ROBERT TYLER REIDENBAUGH, MD
- Title
- ATTENDING PHYSICIAN
- Phone
- (405) 313-6080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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