Individual
MARILYN STRAND
Active
Individual
MARILYN STRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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