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:
Health care specialties
Specialty | Code | License # | 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 2 years ago |
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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