Individual
GARY D MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2825 E BARNETT RD, MEDFORD, OR 97504-8332
(541) 789-7000
Mailing address
PO BOX 4749, MEDFORD, OR 97501-0227
(541) 789-5516
(541) 789-5518
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO21010
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151272
—
OR
Enumeration date
11/29/2006
Last updated
04/02/2013
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