MEDICARE: CYNTHIA MARKS 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	01057395A	IN

General Provider Information

NPI Number	:	1881696029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA MARKS M.D.

Provider Business Mailing Address
First Line	:	2330 LYNCH RD
Second Line	:	STE 250
City	:	EVANSVILLE
State	:	IN
Zip	:	47711-2951
Country	:	US
Telephone Number	:	812-485-6942
Fax Number	:	812-485-6949

Provider Business Practice Location Address
First Line	:	4912 UNIVERSITY DR
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47712-6586
Country	:	US
Telephone Number	:	812-428-2273
Fax Number	:

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	02/05/2010

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