| Dr Robert Lorin Taber Jr, MD | |
|
315 N 14th Ave, Othello, WA 99344-1254 | |
| (509) 488-2636 | |
| (509) 331-2617 |
| Full Name | Dr Robert Lorin Taber Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 315 N 14th Ave, Othello, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235170655 | NPI | - | NPPES |
| 8158131 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00030769 (Washington) | Primary |
| Entity Name | Pacific County Hospital District 2 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295708683 PECOS PAC ID: 8224939301 Enrollment ID: O20040120000991 |
| Entity Name | Chelan County Public Hospital District No 2 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1578568853 PECOS PAC ID: 9133027360 Enrollment ID: O20061104000289 |
| Entity Name | Adams County Public Hospital District 3 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811108822 PECOS PAC ID: 5092604801 Enrollment ID: O20110929000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Lorin Taber Jr, MD 6477 College Park Sq Ste 316, Virginia Beach, VA 23464-3611 Ph: (800) 637-3627 | Dr Robert Lorin Taber Jr, MD 315 N 14th Ave, Othello, WA 99344-1254 Ph: (509) 488-2636 |
Harvey Richard Fritz, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 N 14th Ave, Othello, WA 99344 Phone: 509-750-8989 Fax: 509-750-8989 |