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NPI Code Detail

MEDICARE: EDWARD ROBERT MARKS III MD

MEDICARE: EDWARD ROBERT MARKS III 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 Physician

General Provider Information

NPI Number : 1376731653
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDWARD ROBERT MARKS III MD
Provider Business Mailing Address
First Line : PO BOX 6475
Second Line :
City : WHEELING
State : WV
Zip : 26003-0810
Country : US
Telephone Number : 304-233-9314
Fax Number : 304-233-0265
Provider Business Practice Location Address
First Line : 1006 COMMERCE ST
Second Line :
City : WELLSBURG
State : WV
Zip : 26070-1567
Country : US
Telephone Number : 304-737-4435
Fax Number : 304-737-4439
Authorized Official
Title or Position : OWNER
Name : EDWARD ROBERT MARKS
Credential : MD
Telephone Number : 304-737-4435
Provider Enumeration Date : 10/11/2007
Last Update Date : 10/23/2007

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Directions to “EDWARD ROBERT MARKS III MD ” Practice Location

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