Organization
MARIETTA MEDICAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER D ANDERSON MD (OWNER)
(740) 236-1232
Entity
Organization
Contact information
Practice address
101 PUTNAM ST, MARIETTA, OH 45750-2924
(740) 236-1232
(740) 236-9191
Mailing address
101 PUTNAM ST, MARIETTA, OH 45750-2924
(740) 236-1232
(740) 236-9191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14185
WV
207RI0200X
Infectious Disease Physician
Primary
35.063586
OH
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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