Provider Demographics
NPI:1124369947
Name:MARCUS, RION (DC)
Entity Type:Individual
Prefix:DR
First Name:RION
Middle Name:
Last Name:MARCUS
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 1:4509 SAN ANDRES AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-1125
Mailing Address - Country:US
Mailing Address - Phone:505-615-7466
Mailing Address - Fax:
Practice Address - Street 1:10555 MONTGOMERY BLVD NE
Practice Address - Street 2:BUILDING 1, SUITE 30
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3857
Practice Address - Country:US
Practice Address - Phone:505-299-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2064111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor