Individual
DOUGLAS JAMES MARQUESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2312 HIKES LANE, LOUISVILLE, KY 40218
(502) 479-7229
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27354
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000536417
ANTHEM
KY
05
—
64273543
—
KY
Enumeration date
10/19/2005
Last updated
12/09/2020
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