Organization
NATHANIEL TRAVIS MARVEL, JR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL TRAVIS MARVEL JR. MD (OWNER)
(513) 535-1064
Entity
Organization
Contact information
Practice address
143 LAKEVIEW CT., LOVELAND, OH 45140
(513) 535-1064
(513) 774-8612
Mailing address
PO BOX 643680, CINCINNATI, OH 45264-3680
(513) 891-2813
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
35-051342
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF0430
RR MEDICARE
OH
Enumeration date
09/25/2006
Last updated
11/30/2007
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