Individual
DR. PHILLIP GLENN MARKS
Active
Individual
DR. PHILLIP GLENN MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39444
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150804C
PSC MEDICARE PROVIDER #
NC
01
—
53944
BLUE CROSS/BLUE SHIELD-NC
NC
05
—
8953944
—
NC
01
—
P00064804
RAILROAD MEDICARE
NC
Enumeration date
10/04/2006
Last updated
07/02/2026
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