Individual
HENRY C. MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 W 10TH ST, SUITE 200, SEDALIA, MO 65301-2540
(660) 827-1771
(660) 827-1422
Mailing address
1605 E BROADWAY, SUITE 300, COLUMBIA, MO 65201-8023
(573) 256-7700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MO103636
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204797104
—
MO
Enumeration date
07/16/2006
Last updated
03/19/2021
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