Provider Demographics
NPI:1841450392
Name:MARC G. MEININGER, M.D.
Entity type:Organization
Organization Name:MARC G. MEININGER, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:G
Authorized Official - Last Name:PALOMAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-839-8800
Mailing Address - Street 1:720 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944-2252
Mailing Address - Country:US
Mailing Address - Phone:509-839-8800
Mailing Address - Fax:509-839-0189
Practice Address - Street 1:720 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-2252
Practice Address - Country:US
Practice Address - Phone:509-839-8800
Practice Address - Fax:509-839-0189
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARC G. MEININGER, M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00032253207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty