Individual
J JOSEPH MARR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1100
Mailing address
3192 W 151ST CT, BROOMFIELD, CO 80023-9430
(720) 320-0450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33361
CO
207P00000X
Emergency Medicine Physician
Primary
6311A
WY
207P00000X
Emergency Medicine Physician
DR.0033361
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36076864
—
CO
Enumeration date
01/06/2006
Last updated
10/21/2020
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