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Individual

MARCUS L WARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A78198
CA
207T00000X
Neurological Surgery Physician
E-4893
AR
207T00000X
Neurological Surgery Physician
Primary
MD.201741
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04524598
MS
01
06070018300
QUALCHOICE
AR
05
1025020
LA
05
162778001
AR
01
5N592
BCBS
AR
01
E4893
TRICARE
AR
Enumeration date
09/24/2006
Last updated
06/06/2011
Update your record

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