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Individual

MR. MARC STEVEN SIMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RDCS

Contact information

Practice address
6010 W AMARILLO BLVD, AMARILLO, TX 79106-1990
(806) 355-9703
Mailing address
3707 LINE AVE, AMARILLO, TX 79106-6303
(806) 379-0041

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
102742
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102742
RDCS
Enumeration date
10/06/2006
Last updated
07/08/2007
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