Marietta Medical Ltd | |
101 Putnam St Marietta OH 45750-2924 | |
(740) 236-1232 | |
(740) 236-9191 |
Full Name | Marietta Medical Ltd |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 101 Putnam St, Marietta, Ohio |
Authorized Official Name and Position | Roger D Anderson (OWNER) |
Authorized Official Contact | 7402361232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marietta Medical Ltd 101 Putnam St Marietta OH 45750-2924 Ph: (740) 236-1232 | Marietta Medical Ltd 101 Putnam St Marietta OH 45750-2924 Ph: (740) 236-1232 |
NPI Number | 1245651207 |
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Provider Enumeration Date | 12/18/2013 |
Last Update Date | 12/18/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245651207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 14185 (West Virginia) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | 35.063586 (Ohio) | Primary |
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