Individual
LARRY STEVEN MARQUEZ II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3338 KEOKUK ST, BUTTE, MT 59701-4426
(406) 498-2290
Mailing address
3338 KEOKUK ST, BUTTE, MT 59701-4426
(406) 498-2290
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
910
MT
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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