Individual
KEVIN DARROW MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 260-7220
Mailing address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 260-7220
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A123908
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2011
Last updated
07/05/2016
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