Individual
DR. MARCUS ANDREW CUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
4111 N ILLINOIS ST, SWANSEA, IL 62226-7609
(618) 234-3053
Mailing address
4111 N ILLINOIS ST, SWANSEA, IL 62226-7609
(618) 234-3053
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-010463
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
901900001
MEDICARE PTAN
IL
Enumeration date
07/11/2011
Last updated
07/03/2012
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