Individual
JESUS MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5318
(270) 798-8372
(270) 956-0180
Mailing address
PO BOX 514, FORT CAMPBELL, KY 42223-0514
(270) 798-8764
(270) 798-8501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31011-020
WI
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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