Individual
DORIANNE S MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
545 S BOEHNE CAMP RD, EVANSVILLE, IN 47712-3703
(812) 429-1818
(812) 426-9887
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 429-1818
(812) 426-9887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01059045A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323529
ANTHEM
IN
05
—
200487760
—
IN
01
—
64084072
KY MEDICAID
KY
Enumeration date
11/29/2006
Last updated
01/03/2013
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