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Individual
MARC J EUBANKS
Active
Individual
MARC J EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD 066513-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017126860007
—
PA
05
—
01-01712686-01
—
PA
Enumeration date
06/23/2005
Last updated
05/11/2021
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