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Individual
MARCUS LEO CORLEY
Active
Individual
MARCUS LEO CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C36871
CA
207L00000X
Anesthesiology Physician
E0863
TX
2085R0202X
Diagnostic Radiology Physician
E0863
TX
208D00000X
General Practice Physician
C36871
CA
208D00000X
General Practice Physician
E0863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C368710
—
CA
01
—
C36871
CALIFORNIA STATE MEDICAL LICENSE
CA
01
—
E0863
TEXAS MEDICAL LICENSE
TX
Enumeration date
06/08/2006
Last updated
02/22/2023
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