Healthcare Provider Details
I. General information
NPI: 1417935404
Provider Name (Legal Business Name): MARION FAMILY PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
537 S FREEBORN ST
MARION KS
66861-1256
US
IV. Provider business mailing address
537 S FREEBORN ST
MARION KS
66861-1256
US
V. Phone/Fax
- Phone: 620-382-3722
- Fax: 620-382-3851
- Phone: 620-382-3722
- Fax: 620-382-3851
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DON
W
HODSON
Title or Position: PRESIDENT
Credential: MD
Phone: 620-382-3722