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Individual

DANIEL L. MARIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 SOUTHGATE, SUITE #2, PENDLETON, OR 97801-3974
(541) 276-1911
(541) 276-3577
Mailing address
1100 SOUTHGATE, SUITE #2, PENDLETON, OR 97801-3974
(541) 276-1911
(541) 276-3577

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14200
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10067-7
RI
01
1174505044
MEDICARE RAILROAD
OR
01
1174513873
MEDICARE RAILROAD
OR
01
1609866458
MEDICARE RAILROAD
OR
01
1619967460
MEDICARE RAILROAD
OR
01
1871575720
MEDICARE RAILROAD
OR
Enumeration date
10/24/2005
Last updated
09/04/2008
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