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Organization
MARATHON HEALTH LLC
Active
Organization
MARATHON HEALTH LLC
Active
Parent organization
MARATHON HEALTH LLC
Other names
MidFirst
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH LLC
Authorized official
JERRY FORD (CEO)
(802) 857-0400
Entity
Organization
Contact information
Practice address
717 NW 56TH ST, OKLAHOMA CITY, OK 73118-6030
(405) 766-8060
Mailing address
20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239
(802) 857-0400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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