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Individual
DR. PATTI JO MARCUM
Active
Individual
DR. PATTI JO MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21026
WV
207Q00000X
Family Medicine Physician
Primary
35.133829
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010721914
MOUNTAIN STATE BC/BS
WV
05
—
3004276000
—
WV
05
—
64089758
—
KY
Enumeration date
05/18/2006
Last updated
01/30/2025
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