Individual
MARNIE JO KREMER PRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
ONE HOAG DRIVE, NEWPORT BEACH, CA 92663-4162
(949) 645-3534
Mailing address
471 N. OLD NEWPORT #302, NEWPORT BEACH, CA 92633-4244
(949) 645-3534
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A109358
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A10935800
BCBS OF CA
CA
05
—
1366694606
—
CA
Enumeration date
10/17/2008
Last updated
01/14/2015
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