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Individual

MR. JOHN D MARCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1020 ST CLAIR PLAZA, ST CLAIR, MO 63077
(636) 629-6030
(636) 629-6030
Mailing address
1020 ST CLAIR PLAZA, ST CLAIR, MO 63077
(636) 629-6030
(636) 629-6030

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
G38741
CA
207K00000X
Allergy & Immunology Physician
Primary
R3G15
MO

Other

Enumeration date
02/23/2007
Last updated
06/26/2014
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