Individual
MR. WILLIAM LEWIS MARR IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
810 E 3RD ST UNIT 201, DURANGO, CO 81301-5759
(970) 764-1790
(970) 375-7927
Mailing address
PO BOX 802793, KANSAS CITY, MO 64180-2793
(800) 953-0104
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01678
TX
363AM0700X
Medical Physician Assistant
Primary
PA.0008209
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA01678
PA STATE LICENSE
TX
Enumeration date
09/15/2006
Last updated
03/04/2025
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