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Organization

MIDWEST HEART & VASCULAR

Active
Other names
Henry C. Marquez
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY C. MARQUEZ M.D. (OWNER)
(660) 829-3400
Entity
Organization

Contact information

Practice address
4400 S LIMIT AVE, SUITE B, SEDALIA, MO 65301-0505
(660) 829-3400
(660) 829-3433
Mailing address
4400 S LIMIT AVE, SUITE B, SEDALIA, MO 65301-0505
(660) 829-3400
(660) 829-3433

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1649297698
NPI GROUP
MO
05
505430702
MO
Enumeration date
07/16/2006
Last updated
07/30/2008
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