Individual
MR. MARCUS J JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
880 MONTCLAIR RD, SUITE 577, BIRMINGHAM, AL 35213-1972
(205) 595-6757
(205) 595-0472
Mailing address
7445 W WASHINGTON AVE,, LAS VEGAS,, NV 89128
(972) 239-8176
(205) 595-0472
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
10/08/2008
Last updated
03/12/2025
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