Individual
DR. WESLEY DARRELL MARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
130 N RANDOLPH AVE, B, EUFAULA, AL 36027-1631
(334) 687-1973
(334) 687-1972
Mailing address
PO BOX 40, EUFAULA, AL 36072-0040
(334) 687-1973
(334) 687-1972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-355
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000086452
—
AL
01
—
510-86452
BCBS PROVIDER NUMBER
AL
Enumeration date
01/10/2006
Last updated
03/07/2010
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