Individual
MITCHELL C MARZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 751-5310
(406) 751-3068
Mailing address
310 SUNNYVIEW LN, KALISPELL, MT 59901-3129
(406) 752-5111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26272
MT
208M00000X
Hospitalist Physician
26272
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851594626
—
ID
05
—
1851594626
—
MT
05
—
1851594626
—
WA
Enumeration date
06/07/2007
Last updated
08/11/2022
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