Individual
DR. DOMINIQUE MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3633 136TH PLACE SE, SUITE #110, BELLEVUE, WA 98006
(425) 747-7202
(425) 643-0635
Mailing address
3633 136TH PLACE SE, SUITE #110, BELLEVUE, WA 98006
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD60107064
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143RA
NCBCBS
NC
05
—
5904391
—
NC
05
—
N0089F
—
SC
Enumeration date
08/03/2006
Last updated
11/22/2022
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