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Individual
MARION C CHILDS
Active
Individual
MARION C CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD024972E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000154173
BLUE SHIELD
PA
05
—
000809233
—
PA
01
—
0084757001
INDEPENDENT BLUE CROSS
PA
01
—
010006926
RAILROAD
—
Enumeration date
06/22/2005
Last updated
10/23/2013
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