Individual
DR. RICHARD DWIGHT MARCINIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2860 S CIRCLE DR, SUITE 160, COLORADO SPRINGS, CO 80906-4113
(719) 473-2346
(719) 577-9627
Mailing address
2860 S CIRCLE DR, SUITE 160, COLORADO SPRINGS, CO 80906-4113
(719) 473-2346
(719) 577-9627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27889
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260049678
RAILROAD MEDICARE
CO
05
—
UM01278894
—
CO
Enumeration date
06/12/2006
Last updated
01/18/2011
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