Bradley Tyler Marker MD

NPI 1073717849 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1073717849
Gender Male
Enumeration Date 06/13/2007
Last Updated 12/23/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4300 W MAIN ST
SUITE 24
DOTHAN AL, 36305-1054, US
Phone (334) 793-1534
Fax (334) 793-6840
Business Location
4300 W MAIN ST
SUITE 24
DOTHAN AL, 36305-1054, US
Phone (334) 793-1534
Fax (334) 793-6840
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Bradley Tyler Marker MD NPI is 1073717849, taxonomy code is 390200000X Bradley Tyler Marker MD physically located at 4300 W Main St, Dothan AL, 36305-1054. NPI Number Bradley Tyler Marker MD has the Individual type.

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1073717849 NPI number is provided on an as is basis without warranty of any kind. 1073717849 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Tyler Marker MD are for informational purposes only.