Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Clinical Exercise Physiologist |
224Y00000X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1386676369 |
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| Entity | Organization | ||||||||
| Organization subpart 1 | Not specified | ||||||||
| Enumeration date | 07/07/2006 | ||||||||
| Last updated | 05/27/2017 - About 9 years ago | ||||||||
| Identifiers |
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STEVEN J MARQUEZ
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