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NPI Code Detail

MEDICARE: MARNIE L. COLLINS DDS

MEDICARE: MARNIE L. COLLINS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305R00000XPreferred Provider Organization8149WA

General Provider Information

NPI Number : 1083168272
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARNIE L. COLLINS DDS
Provider Business Mailing Address
First Line : 507 N SULLIVAN RD STE 2
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99037-8576
Country : US
Telephone Number : 509-927-2273
Fax Number : 509-927-2280
Provider Business Practice Location Address
First Line : 507 N SULLIVAN RD STE 2
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99037-8576
Country : US
Telephone Number : 509-927-2273
Fax Number : 509-927-2280
Authorized Official
Title or Position : OWNER
Name : MRS. MARNIE L COLLINS
Credential : DDS
Telephone Number : 509-927-2273
Provider Enumeration Date : 08/05/2016
Last Update Date : 08/05/2016

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Directions to “MARNIE L. COLLINS DDS ” Practice Location

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