Individual
DR. MARC A. PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0103000356
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100256000
MEDICAID OF WEST VIRGINIA
VA
01
—
1184695249
AETNA
VA
05
—
1184695249
—
VA
01
—
371194700
BLACK LUNG
VA
01
—
540506332108
TRICARE/CHAMPUS
VA
01
—
P00825874
RAILROAD MEDICARE
VA
Enumeration date
01/27/2006
Last updated
03/17/2014
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