Marathon Health, LLC
NPI #1417511924 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1417511924
- Entity Type
- Organization
- Organization Name
- Marathon Health, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MARATHON HEALTH LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Apr 30, 2019
- Last Updated
- Apr 30, 2019
Practice Location
- Address
- 725 HIGHWAY 142
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-8159
- Phone
- (573) 312-3767
Authorized Official
- Name
- JERRY FORD
- Title
- CEO
- Phone
- (802) 857-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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