# MR. MARION RAY WINDHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144214636
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | C34630 | CA | Yes |

## Other

- **Enumeration date:** 09/09/2005
- **Last updated:** 01/19/2017