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Individual

DR. DON F MARX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3510 MAGNOLIA CV, SUITE 170, MONROE, LA 71203-2372
(318) 387-9774
(318) 322-7306
Mailing address
3510 MAGNOLIA CV, SUITE 170, MONROE, LA 71203-2372
(318) 387-9774
(318) 322-7306

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12297
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1192864
LA
01
720903504
TAX IDENTIFICATION
LA
01
L190002
VANTAGE
LA
Enumeration date
08/15/2005
Last updated
01/07/2011
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