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NPI Code Detail

MEDICARE: DR. MARLON DE MARCIE TWYMAN MD

MEDICARE: DR. MARLON DE MARCIE TWYMAN 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
1207Q00000XFamily Medicine Physician35056382TOH

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 : 1336104009
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARLON DE MARCIE TWYMAN MD
Provider Business Mailing Address
First Line : 25 MERCHANT STREET
Second Line : SUITE 220
City : CINCINNATI
State : OH
Zip : 45246-3740
Country : US
Telephone Number : 513-533-1199
Fax Number : 513-645-9827
Provider Business Practice Location Address
First Line : 1152 W THIRD ST
Second Line :
City : DAYTON
State : OH
Zip : 45402-6812
Country : US
Telephone Number : 937-268-3483
Fax Number : 937-268-1884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 02/26/2021

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