# NATHANIEL TRAVIS MARVEL, JR.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053411447
- **Authorized official:** DR. NATHANIEL TRAVIS MARVEL JR. MD (OWNER)
- **Authorized official phone:** (513) 535-1064

## Contact information

- **Practice address:** 143 LAKEVIEW CT., LOVELAND, OH 45140
- **Practice address phone:** (513) 535-1064
- **Practice address fax:** (513) 774-8612
- **Mailing address:** PO BOX 643680, CINCINNATI, OH 45264-3680
- **Mailing address phone:** (513) 891-2813
- **Mailing address fax:** (513) 793-1032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | 35-051342 | OH | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 11/30/2007