Provider Demographics
NPI:1275678583
Name:MARCINKUS, RIM (MD)
Entity Type:Individual
Prefix:
First Name:RIM
Middle Name:
Last Name:MARCINKUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:35280 BOB HOPE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1753
Mailing Address - Country:US
Mailing Address - Phone:760-202-4481
Mailing Address - Fax:760-202-4310
Practice Address - Street 1:35280 BOB HOPE DR
Practice Address - Street 2:STE.105
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1753
Practice Address - Country:US
Practice Address - Phone:760-202-4481
Practice Address - Fax:760-202-4310
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA66358170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics