Organization
DAVID H MARCOWITZ DO SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN MARIE EARLEY (OFFICE MANAGER)
(309) 757-9191
Entity
Organization
Contact information
Practice address
4370 7TH ST, MOLINE, IL 61265-6867
(309) 757-9191
(309) 757-9192
Mailing address
4370 7TH ST, MOLINE, IL 61265-6867
(309) 757-9191
(309) 757-9192
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036082773
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082773
—
IL
01
—
080179981
MEDICARE RAILROAD CARRIER
IL
01
—
08132007
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/14/2007
Last updated
11/05/2008
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