Individual
ROBIN MARQUISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.P.
Contact information
Practice address
1001 NOBLE ST, SUITE 410, FAIRBANKS, AK 99701-4922
(907) 456-7760
(907) 451-7184
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2325
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
169
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0000WCPCX
MEDICARE GROUP NUMBER
AK
05
—
OP01691
—
AK
Enumeration date
08/29/2007
Last updated
08/22/2008
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