Individual
DR. MARC PATRICK UNDERHILL
Active
Individual
DR. MARC PATRICK UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01069066A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
ME143305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106130600
—
FL
05
—
201011260
—
IN
01
—
M400062727
MEDICARE SVMG
IN
01
—
MH000
MEDICARE PTAN OHRI
FL
01
—
NDWHR
BCBS
FL
01
—
PS688
MEDICARE PTAN OHMG
FL
Enumeration date
05/24/2007
Last updated
03/28/2023
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