Individual
MR. DOUGLAS WILLIAM MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 424-2020
(870) 425-4840
Mailing address
140 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-3158
(870) 424-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R3778
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113788001
—
AR
01
—
180032996
PALMETTO GBA - RAILROAD MEDICARE
—
Enumeration date
06/22/2005
Last updated
02/13/2009
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