Whalio Doctors

NPI 1043627771

Max W Marion, CSA

Practitioner Specialist Bowling Green, KY

Practice location

Address
1725 Ashley Cir Suite 212, Bowling Green, KY 42104-3337
Phone
(270) 782-0434
Fax
(270) 782-0564
Mailing address
1945 Scottsville Rd B2 Pmb137, Bowling Green, KY 42104-3376

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence SA272 (KY)

Registry record

NPI
1043627771
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Jul 2014
Record last updated
15 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.