Individual
MARISSA LEIGH RAISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3700
Mailing address
747 N 5TH ST, MONTROSE, CO 81401-3203
(720) 224-5509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
11/24/2020
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