Individual
STEPHEN HAMILTON MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS
Contact information
Practice address
705 S PARK RD, CHARLESTON, WV 25304-2629
(304) 446-2336
Mailing address
1117 QUARRIER ST, CHARLESTON, WV 25301-2410
(304) 416-9039
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-9154
WV
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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