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Individual

JEFFREY MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7450 KESSLER ST STE 110, MERRIAM, KS 66204-2550
(913) 831-1003
(913) 831-4801
Mailing address
7450 KESSLER ST STE 110, MERRIAM, KS 66204-2550
(913) 831-1003
(913) 831-4801

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
04-44829
KS
208800000X
Urology Physician
2021026172
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-44829
KANSAS LICENSE
KS
Enumeration date
04/01/2015
Last updated
04/04/2025
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