MEDICARE: MARVIN R. GEE, D.D.S., P.S.

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
1	207LP3000X	Pediatric Anesthesiology Physician	GA10000254	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699920546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARVIN R. GEE, D.D.S., P.S.

Provider Business Mailing Address
First Line	:	19425 S DUNCAN RD
Second Line	:
City	:	SPANGLE
State	:	WA
Zip	:	99031-9754
Country	:	US
Telephone Number	:	509-245-3773
Fax Number	:	509-245-3774

Provider Business Practice Location Address
First Line	:	19425 S DUNCAN RD
Second Line	:
City	:	SPANGLE
State	:	WA
Zip	:	99031-9754
Country	:	US
Telephone Number	:	509-245-3773
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARVIN RICHARD GEE
Credential	:	D.D.S., M.P.H.
Telephone Number	:	509-245-3773

Provider Enumeration Date	:	11/19/2008
Last Update Date	:	11/19/2008

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