Individual
MARVIN RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1213 24TH ST, #100, ANACORTES, WA 98221-2592
(360) 293-4655
Mailing address
1213 24TH ST, #100, ANACORTES, WA 98221-2592
(360) 293-1115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00029241
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1088210
—
WA
Enumeration date
11/08/2006
Last updated
03/23/2009
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