Individual
DAVID KEITH MARCOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 CASSON HILL RD, FORT RILEY, KS 66442-7037
(785) 239-7155
(740) 687-9059
Mailing address
600 CASSON HILL RD, FORT RILEY, KS 66442-7037
(785) 239-7155
(740) 687-9059
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50001064
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50001064
OHIO PA MEDICAL LICENSE
OH
Enumeration date
05/03/2007
Last updated
06/03/2008
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