Organization
JEFFREY L MARXEN MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L MARXEN MD (PRESIDENT)
(619) 465-0083
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLDG 3 STE 154, LA MESA, CA 91942
(619) 465-0083
(619) 465-2267
Mailing address
5565 GROSSMONT CENTER DR, BLDG 3 STE 154, LA MESA, CA 91942
(619) 465-0083
(619) 465-2267
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C39343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C393430
—
CA
Enumeration date
04/04/2008
Last updated
04/04/2008
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