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Individual

ROBERT MARROQUIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
123 METAIRIE RD, METAIRIE, LA 70005-4560
(504) 703-7740
(504) 703-7741
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
303434
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
0103301232
VA
390200000X
Student in an Organized Health Care Education/Training Program
T60-2012
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06304047
MS
05
2430831
LA
Enumeration date
08/01/2012
Last updated
08/02/2022
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