Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 32138 | NC |
NPI | 1063437168 |
---|---|
Provider Name | Howard F. Marks JR. |
First Address | Wilmington, NC 28401-6637 |
Second Address | Wilmington, NC 28401-6637 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 09/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C85321 | (02) |