MEDICARE: DAVID JOSEPH MARWIL M.D.

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	17918	KY

General Provider Information

NPI Number	:	1144242009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JOSEPH MARWIL M.D.

Provider Business Mailing Address
First Line	:	1517 NICHOLASVILLE RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1429
Country	:	US
Telephone Number	:	859-278-2902
Fax Number	:	859-277-6289

Provider Business Practice Location Address
First Line	:	1517 NICHOLASVILLE RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-1429
Country	:	US
Telephone Number	:	859-278-2902
Fax Number	:	859-277-6289

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	07/08/2007

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