Organization
DOC MARVIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE J HILBRECHT (BILLER)
(270) 703-4416
Entity
Organization
Contact information
Practice address
544 LONE OAK RD, PADUCAH, KY 42003-4538
(270) 933-9310
Mailing address
PO BOX 3, PADUCAH, KY 42002-0003
(270) 933-9310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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