Individual
RYAN MARKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 CRIMSON OAKS DR, FENTON, MO 63026-8303
(314) 243-1950
Mailing address
3000 CRIMSON OAKS DR, FENTON, MO 63026-8303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2009009448
MO
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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