Provider Demographics
NPI:1104840669
Name:MARKS, BARRY LEROY (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:LEROY
Last Name:MARKS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1745 W ORANGEWOOD AVE
Mailing Address - Street 2:STE 114
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2004
Mailing Address - Country:US
Mailing Address - Phone:714-938-0575
Mailing Address - Fax:714-938-1276
Practice Address - Street 1:1745 W ORANGEWOOD AVE #114
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:714-938-0575
Practice Address - Fax:714-938-1276
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor