Individual
MARNIE BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
(509) 659-1200
Mailing address
903 S ADAMS ST, RITZVILLE, WA 99169-2227
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004142
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156841
WA L&I
WA
Enumeration date
07/28/2006
Last updated
07/24/2015
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