Whalio Doctors

NPI 1134654924

Jacob Michael Marks, MD

Practitioner Plastic Surgery Physician Gilbert, AZ

Practice location

Address
1981 E Bonanza CT STE 102, Gilbert, AZ 85297-8014
Phone
(480) 466-7355
Mailing address
4111 S Silverado St Unit 188, Gilbert, AZ 85297-0119

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 72603 (AZ)

Registry record

NPI
1134654924
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Apr 2017
Record last updated
26 Jul 2024

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.