MEDICARE: MARION FAMILY PHYSICIANS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1417935404
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARION FAMILY PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	537 S FREEBORN ST
Second Line	:
City	:	MARION
State	:	KS
Zip	:	66861-1256
Country	:	US
Telephone Number	:	620-382-3722
Fax Number	:	620-382-3851

Provider Business Practice Location Address
First Line	:	537 S FREEBORN ST
Second Line	:
City	:	MARION
State	:	KS
Zip	:	66861-1256
Country	:	US
Telephone Number	:	620-382-3722
Fax Number	:	620-382-3851

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DON W HODSON
Credential	:	MD
Telephone Number	:	620-382-3722

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	08/22/2020

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Directions to “MARION FAMILY PHYSICIANS LLC ” Practice Location

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