Dr MARX W DE SA is a male medical professional, specializing in Anesthesiology. He graduated in 2011 from Loma Linda University School Of Medicine.
NORTHCOAST ANESTHESIA PROVIDERS MEDICAL GROUP
275 HOSPITAL DR
UKIAH
CA
954824531
Tel: 7074637692
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 |
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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 |
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Professional Accepts Medicare Assignment | Y |
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