Provider Demographics
NPI:1083665954
Name:GIEBEL, ARTHUR W (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:W
Last Name:GIEBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX O
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-0212
Mailing Address - Country:US
Mailing Address - Phone:509-540-3937
Mailing Address - Fax:509-540-3938
Practice Address - Street 1:1610 PENNY LN
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-4477
Practice Address - Country:US
Practice Address - Phone:509-540-3937
Practice Address - Fax:509-540-3938
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR166963207W00000X
WAMD00046257207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00321635OtherRAIL ROAD MEDICARE
ORR135117Medicare PIN
WAG8859918Medicare PIN
AKK160719Medicare PIN
MT000085406Medicare PIN
G27891Medicare UPIN
WAG8859914Medicare PIN
WAG8859915Medicare PIN
WAG8859917Medicare PIN
ID1134155Medicare PIN
WAG8859919Medicare PIN
WAG8859916Medicare PIN