NPI 1841724077

Larry Steven Marquez

Practitioner Prevention Professional Butte, MT

Practice location

Address: 3338 Keokuk St, Butte, MT 59701-4426
Phone: (406) 498-2290

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 910 (MT)

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Registry record

NPI: 1841724077
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Apr 2017
Record last updated: 13 Apr 2017

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.