Bradley Tyler Marker in Dothan - Student In An Organized Health Care Education/training Program

Bradley Tyler Marker - NPI 1073717849

Bradley Tyler Marker is a Student In An Organized Health Care Education/training Program in Dothan, Alabama. Bradley Tyler Marker practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Bradley Tyler Marker is 1073717849. The last update date is 2014-12-23.

Bradley Tyler Marker's current location address is 4300 W Main St, Dothan, Alabama. You can contact this provider via phone number 3347931534 and fax number 3347936840. The mailing address for Bradley Tyler Marker is 4300 W Main St, Dothan, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Tyler Marker
Address 4300 W Main St, Dothan, Alabama
Phone Number 3347931534
Fax Number 3347936840
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073717849
Provider Enumeration Date 2007-06-13
Last Updated Date 2014-12-23

Provider Mailing Address Detail

Address 4300 W Main St
City Dothan
State Alabama (AL)
Post Code 363051054
Phone Number 3347931534
Fax Number 3347936840

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
BP1-0017854 INSTITUTIONAL PERMIT

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FAQs about Bradley Tyler Marker

What is the unique 10-digit identification code issued to Bradley Tyler Marker by the Centers for Medicare & Medicaid Services?

The Bradley Tyler Marker has been assigned the NPI (National Provider Identifier) 1073717849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Bradley Tyler Marker is physically located?

The Bradley Tyler Marker is situated at the following address: 4300 W Main St, Dothan, AL 363051054.

What is Bradley Tyler Marker'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 Bradley Tyler Marker is Student In An Organized Health Care Education/training Program, and the taxonomy classification code that categorizes this area of expertise is 390200000X.

When was the Bradley Tyler Marker's 1073717849 issued?

The Bradley Tyler Marker's 1073717849 was issued on 2007-06-13.

As of what date were the Bradley Tyler Marker's details last updated?

The information pertaining to the Bradley Tyler Marker, including its address, specialty, and other details, was most recently updated on 2014-12-23.

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