Individual
DR. FREDRIC A MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
243 CURTISS RD, BARKSDALE AFB, LA 71110-2425
(318) 456-6844
Mailing address
243 CURTISS RD, BARKSDALE AFB, LA 71110-2425
(318) 456-6844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G43803
CA
2083A0100X
Aerospace Medicine Physician
Primary
G43803
CA
2083X0100X
Occupational Medicine Physician
G43803
CA
Other
Enumeration date
03/06/2006
Last updated
11/07/2013
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