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NPI Code Detail

MEDICARE: DR. DAVID L MARCUS MD

MEDICARE:  DR. DAVID L MARCUS  MD
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
1207P00000XEmergency Medicine Physician35040385OH

Other Identifiers

General Provider Information

NPI Number : 1598761876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID L MARCUS MD
Provider Business Mailing Address
First Line : 3131 NEWMARK DR STE 220
Second Line :
City : MIAMISBURG
State : OH
Zip : 45342-5400
Country : US
Telephone Number : 937-436-4658
Fax Number : 937-436-4984
Provider Business Practice Location Address
First Line : 3535 SOUTHERN BLVD
Second Line :
City : KETTERING
State : OH
Zip : 45429-1221
Country : US
Telephone Number : 937-395-8166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 05/06/2020

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Directions to “ DR. DAVID L MARCUS MD” Practice Location

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