Individual
MARCUS DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3814 PECAN DR, ALEXANDRIA, LA 71302-2547
(318) 308-9818
Mailing address
3814 PECAN DR, ALEXANDRIA, LA 71302-2547
(318) 308-9818
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2324
—
LA
Enumeration date
06/24/2021
Last updated
06/24/2021
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