MARX W DE SA

NORTHCOAST ANESTHESIA PROVIDERS MEDICAL GROUP

Dr MARX W DE SA is a male medical professional, specializing in Anesthesiology. He graduated in 2011 from Loma Linda University School Of Medicine.

Contact

NORTHCOAST ANESTHESIA PROVIDERS MEDICAL GROUP

275 HOSPITAL DR
UKIAH
CA
954824531

Tel: 7074637692

MARX W DE SA Information

Npi 1457774770
Pac Id 5193954667
Professional Enrollment Id I20150818005463
Last Name DE SA
First Name MARX
Middle Name W
Suffix
Gender M
Credential
Medical School Name LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2011
Primary Specialty ANESTHESIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHCOAST ANESTHESIA PROVIDERS MEDICAL GROUP
Group Practice Pac Id 3870542657
Number Of Group Practice Members 6
Line 1 Street Address 275 HOSPITAL DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City UKIAH
State CA
Zip Code 954824531
Phone Number 7074637692
Hospital Affiliation Ccn 1 050028
Hospital Affiliation Lbn 1 MAD RIVER COMMUNITY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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