Individual
DR. ELLIOT LEE MARCUS
Active
Individual
DR. ELLIOT LEE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5049
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004378719
AETNA
—
01
—
51020200003920
BCBS
AL
01
—
630641282
FIRST COMMUNITY
AL
01
—
630641282
MAILHANDLERS
—
01
—
CIGNA
630641282
—
01
—
XXXXX1282358010000
WPS TRICARE
—
Enumeration date
09/15/2006
Last updated
02/16/2010
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