# JEFFREY L MARXEN MD APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841463387
- **Authorized official:** JEFFREY L MARXEN MD (PRESIDENT)
- **Authorized official phone:** (619) 465-0083

## Contact information

- **Practice address:** 5565 GROSSMONT CENTER DR, BLDG 3 STE 154, LA MESA, CA 91942
- **Practice address phone:** (619) 465-0083
- **Practice address fax:** (619) 465-2267
- **Mailing address:** 5565 GROSSMONT CENTER DR, BLDG 3 STE 154, LA MESA, CA 91942
- **Mailing address phone:** (619) 465-0083
- **Mailing address fax:** (619) 465-2267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | C39343 | CA | Yes |

## Other

- **Enumeration date:** 04/04/2008
- **Last updated:** 04/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00C393430 | — | CA |
