Individual
MARILYN STRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6635 COMANCHE ST, BONNERS FERRY, ID 83805-7523
(208) 267-1718
(208) 267-7739
Mailing address
6635 COMANCHE ST, BONNERS FERRY, ID 83805-7523
(208) 267-1718
(208) 267-7739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8525
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142695
REGENCE OF IDAHO GROUP
ID
01
—
000010160939
REGENCE OF IDAHO
ID
Enumeration date
07/31/2006
Last updated
07/09/2007
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