Individual
MR. MARION W MANION II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
5507 SATINWOOD CT, COLUMBIA, MO 65203-8021
(785) 845-3027
Mailing address
5507 SATINWOOD CT, COLUMBIA, MO 65203-8021
(573) 845-3027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-78804-072
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55477
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146095
BCBS KS GROUP 110017
KS
05
—
200369190A
—
KS
05
—
200369190L
—
KS
Enumeration date
04/11/2006
Last updated
09/15/2022
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