Richard Kevin Marlow in Mankato - Oral And Maxillofacial Surgery

Richard Kevin Marlow - NPI 1306908702

Richard Kevin Marlow is a Oral And Maxillofacial Surgery in Mankato, Minnesota. Richard Kevin Marlow practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Richard Kevin Marlow is 1306908702. The last update date is 2007-07-08.

Richard Kevin Marlow's current location address is 1990 Premiere Dr, Mankato, Minnesota. You can contact this provider via phone number 5076259330 and fax number 5076251440. The mailing address for Richard Kevin Marlow is 1990 Premiere Dr, Mankato, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Kevin Marlow
Address 1990 Premiere Dr, Mankato, Minnesota
Phone Number 5076259330
Fax Number 5076251440
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1306908702
Provider Enumeration Date 2006-12-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1990 Premiere Dr
City Mankato
State Minnesota (MN)
Post Code 560015900
Phone Number 5076259330
Fax Number 5076251440

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No D10685
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
06D39MA MN BLUE CROSS

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FAQs about Richard Kevin Marlow

What is the Richard Kevin Marlow's unique identification number?

The Richard Kevin Marlow has been assigned the NPI (National Provider Identifier) Number 1306908702 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Richard Kevin Marlow?

The Richard Kevin Marlow is physically situated at 1990 Premiere Dr, in the city of Mankato, state of MN, with the postal code 560015900.

What is Richard Kevin Marlow's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Richard Kevin Marlow is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

When did the Richard Kevin Marlow receive its 1306908702?

The Richard Kevin Marlow was issued its 1306908702 on 2006-12-14, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Richard Kevin Marlow last refreshed?

The information related to the Richard Kevin Marlow, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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