Organization
MARATHON HEALTH, LLC
Active
Parent organization
MARATHON HEALTH LLC
Other names
Briggs @ Stratton Poplar Bluff Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH LLC
Authorized official
JERRY FORD (CEO)
(802) 857-0400
Entity
Organization
Contact information
Practice address
725 HIGHWAY 142, POPLAR BLUFF, MO 63901-8159
(573) 312-3767
Mailing address
PO BOX 5, WINOOSKI, VT 05404-0005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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