Individual
CAROL MADELLAINE MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G64905
CA
2085R0001X
Radiation Oncology Physician
MD00034102
WA
2085R0001X
Radiation Oncology Physician
MD18221
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286710
—
OR
Enumeration date
08/01/2006
Last updated
07/06/2015
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