Provider Demographics
NPI:1699920546
Name:MARVIN R. GEE, D.D.S., P.S.
Entity type:Organization
Organization Name:MARVIN R. GEE, D.D.S., P.S.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:GEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MPH
Authorized Official - Phone:509-245-3773
Mailing Address - Street 1:19425 S DUNCAN RD
Mailing Address - Street 2:
Mailing Address - City:SPANGLE
Mailing Address - State:WA
Mailing Address - Zip Code:99031-9754
Mailing Address - Country:US
Mailing Address - Phone:509-245-3773
Mailing Address - Fax:509-245-3774
Practice Address - Street 1:19425 S DUNCAN RD
Practice Address - Street 2:
Practice Address - City:SPANGLE
Practice Address - State:WA
Practice Address - Zip Code:99031-9754
Practice Address - Country:US
Practice Address - Phone:509-245-3773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAGA10000254207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric AnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5029194Medicaid