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Individual
MR. THOMAS MARX DO
Active
Individual
MR. THOMAS MARX DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101238253
VA
208M00000X
Hospitalist Physician
Primary
A78702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010222338
—
VA
01
—
184440
BLUE CROSS BLUE SHIELD
VA
01
—
254185
KAISER PERMANENTE
VA
01
—
496675
MDIPA OPTIMUM CHOICE
VA
01
—
A78702
MEDICAL STATE LICENSE
CA
Enumeration date
06/08/2006
Last updated
03/13/2020
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