David R. Mariner in Wilkes Barre - Vascular Surgery
David R. Mariner - NPI 1538120175
David R. Mariner is a Vascular Surgery in Wilkes Barre, Pennsylvania. David R. Mariner practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for David R. Mariner is 1538120175. The last update date is 2020-07-31.
David R. Mariner's current location address is 1000 E Mountain Blvd, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5708212340 and fax number 5708267904. The mailing address for David R. Mariner is 1000 E Mountain Blvd, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | David R. Mariner |
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Address | 1000 E Mountain Blvd, Wilkes Barre, Pennsylvania |
Phone Number | 5708212340 |
Fax Number | 5708267904 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1538120175 |
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Provider Enumeration Date | 2006-03-31 |
Last Updated Date | 2020-07-31 |
Provider Mailing Address Detail
Address | 1000 E Mountain Blvd |
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City | Wilkes Barre |
State | Pennsylvania (PA) |
Post Code | 187110027 |
Phone Number | 5708212340 |
Fax Number | 5708267904 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
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Taxonomy | 2086S0129X |
Licence No | MD033476E |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1005075 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David R. Mariner by the Centers for Medicare & Medicaid Services?
The David R. Mariner has been assigned the NPI (National Provider Identifier) 1538120175. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where David R. Mariner is geographically located?
The David R. Mariner is physically situated at the following location: 1000 E Mountain Blvd, Wilkes Barre, PA, 187110027.
What is David R. Mariner's specialized field of practice, and what is the corresponding taxonomy classification code?
The David R. Mariner's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the David R. Mariner receive the assignment of its 1538120175 from the Centers for Medicare & Medicaid Services?
The David R. Mariner was issued its 1538120175 by the Centers for Medicare & Medicaid Services on 2006-03-31.
As of what date was the information regarding David R. Mariner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David R. Mariner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-07-31.