Individual
CARL W MARQUESS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 BROADWAY ST, PADUCAH, KY 42001-2706
(270) 442-2744
(270) 443-5956
Mailing address
PO BOX 7451, PADUCAH, KY 42002-7451
(270) 443-9904
(270) 575-0717
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21501
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64215015
—
KY
Enumeration date
06/21/2005
Last updated
04/15/2011
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