Individual
HERMAN MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 DIVISION ST, GRANDVIEW, WA 98930-1357
(509) 882-4700
(509) 882-6088
Mailing address
240 DIVISION ST, GRANDVIEW, WA 98930-1357
(509) 882-4700
(509) 882-6088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22549
GROUP HEALTH
WA
01
—
51019
LABOR AND INDUSTRIES
WA
05
—
8015646
—
WA
01
—
91019392
COMMERCIAL
—
01
—
MA1939
REGENCE
WA
Enumeration date
10/05/2006
Last updated
03/22/2021
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