Individual
MR. DAVID E MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2910 BETTEN DR, CRETE, NE 68333-3084
(402) 826-2102
(402) 826-7950
Mailing address
PO BOX 220, CRETE, NE 68333-0220
(402) 826-2102
(402) 826-7950
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
58
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37352
BCBS OF NEBRASKA
NE
Enumeration date
05/11/2006
Last updated
07/08/2007
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