Individual
DR. EDMUND JULIAN MARROQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 HOSPITAL DRIVE, VALLEJO, CA 94589-2574
(707) 554-4444
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G81909
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G81909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G819090
—
CA
Enumeration date
05/20/2006
Last updated
01/15/2016
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