Individual
DAVID MITCHELL MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
359 CRYSTAL CANYON DR, CARBONDALE, CO 81623-9151
(214) 415-7432
Mailing address
359 CRYSTAL CANYON DR, CARBONDALE, CO 81623-9151
(214) 415-7432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54169
CO
2085R0001X
Radiation Oncology Physician
Primary
DR.0015469
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2009
Last updated
12/09/2015
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