Individual
MICHAEL RAY MARBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CHILDREN'S HOSPITAL - GENETICS, 200 HENRY CLAY AVE, NEW ORLEANS, LA 70118
(504) 896-9254
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
10120R
LA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
89-257
NM
207SG0202X
Clinical Biochemical Genetics Physician
10120R
LA
208000000X
Pediatrics Physician
10120R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112369
—
MS
05
—
1974358
—
LA
Enumeration date
07/25/2006
Last updated
02/25/2026
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