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NPI Code Detail

MEDICARE: MR. DONALD P MARXER PA

MEDICARE:  MR. DONALD P MARXER  PA
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
1363A00000XPhysician Assistant18OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710958103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD P MARXER PA
Provider Business Mailing Address
First Line : 11636 COUNTRY DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-2643
Country : US
Telephone Number : 405-692-1818
Fax Number :
Provider Business Practice Location Address
First Line : 11636 COUNTRY DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73170-2643
Country : US
Telephone Number : 405-692-1818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 07/08/2007

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Directions to “ MR. DONALD P MARXER PA” Practice Location

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