Individual
RICHARD MARRIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3525 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8839
(937) 395-8387
Mailing address
3525 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8839
(937) 395-8387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.136741
OH
Other
Enumeration date
04/14/2016
Last updated
12/03/2019
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