Nydes, Mara Loris

Nydes, Mara Loris is an individual health care provider with primary practice located at 322 W North River Dr , Spokane WA 99201-3208. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Nydes, Mara Loris can be contacted via phone (509) 324-6464.

Contact Information

Primary practice address
322 W North River Dr Spokane WA 99201-3208
Phone: (509) 324-6464
Fax: (509) 241-2056
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD24560 Maine
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301115052 Michigan
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD61384121 Washington

Profile Details

NPI number 1255824603
LBN Legal business name Nydes, Mara Loris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2018
Last updated Apr 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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