Individual
MR. HOWARD MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2090 WOODLYN AVE., PASADENA, CA 91104
(626) 398-7642
Mailing address
2090 WOODLYN AVE., PASADENA, CA 91104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G48962
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G48962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G489620
—
CA
Enumeration date
04/21/2006
Last updated
07/23/2018
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