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Mr. Douglas Michael Marks, PA-S
Student in an Organized Health Care Education/Training Program in Severna Park, Maryland
NPI 1760115125

Douglas Michael Marks is a Student in an Organized Health Care Education/Training Program based in Severna Park, MD. Douglas Michael Marks practices in Severna Park, MD and has the professional credentials of PA-S. The NPI Number for Douglas Michael Marks is 1760115125 and holds a License No. (Maryland).

The current practice location address for Douglas Michael Marks is 637 Cypresspointe Dr, Severna Park, MD and can be reached out via phone at 812-455-9192.

Location: 637 Cypresspointe Dr, Severna Park, MD, 21146-4122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760115125
Provider Name
Douglas Michael Marks
Credential
PA-S
Provider Entity Type
Individual
Gender
Male
Address
637 Cypresspointe Dr, Severna Park, MD, 21146-4122
Phone Number
812-455-9192
Fax Number
Provider Enumeration Date
07/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
637 Cypresspointe Dr
City
Severna Park
State
Maryland
Zip
21146-4122
Phone Number
812-455-9192
Fax Number
person
Provider Business Mailing Address Details
Address
637 Cypresspointe Dr
City
Severna Park
State
Maryland
Zip
21146-4122
Phone Number
812-455-9192
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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