Individual
DR. KEVIN P. MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 242-8500
(541) 242-8491
Mailing address
PO BOX 24410, EUGENE, OR 97402
(541) 984-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD23017
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287635
—
OR
Enumeration date
03/08/2006
Last updated
07/12/2012
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