Individual
DR. TIMOTHY BRIAN MARCOUX JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
NH GUAM MENTAL HEALTH DEPT, FARENHOLT AVE BLDG #50, AGANA, GU 96910
(671) 344-9401
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1108
(619) 532-8555
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20A15972
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20A15972
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
02/23/2023
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