Individual
MARSHALL L. REA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Mailing address
PO BOX 269024, OKLAHOMA CITY, OK 73126-9024
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
3412
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091470A
—
OK
Enumeration date
09/21/2005
Last updated
04/25/2024
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