MD Leo Eugene Obermiller JR., NPI 1528159316
Nephrology Physician in Spokane, WA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1528159316
NPI Entity Type Individual
Provider Name MD Leo Eugene Obermiller JR.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 105 W 8th Ave Ste 1000, Spokane, WA, US
Provider Mailing Address 101 W 8th Ave, Mother Gamelin Bldg, 3rd Floor, Room 207305, Spokane, WA, US, 992042307
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RN0300X

Taxonomy Name Nephrology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 025209
License State WA
Description An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

MD Leo Eugene Obermiller JR.
105 W 8th Ave Ste 1000

Spokane, WA, US

Phone: 509-474-4500
Fax: 509-474-4487

Mailing Address

MD Leo Eugene Obermiller JR.
101 W 8th Ave
Mother Gamelin Bldg, 3rd Floor, Room 207305
Spokane, WA, US
ZIP 992042307
Phone: 509-474-6842
Fax: 509-474-6606

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RN0300X

Allopathic & Osteopathic Physicians

Internal Medicine

M5092 ID No

207RN0300X

Allopathic & Osteopathic Physicians

Internal Medicine

MD00019462 WA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000010000219 REGENCE BLUE SHIELD OF ID 01
805903500 ID MEDICAID 05
8111304 WA MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT No 122 W 7th Ave Ste 232, Spokane, WA, US

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