Marquez, Samuel

Marquez, Samuel is an individual health care provider with primary practice located at 621 S. New Ballas Road Suite 560A, St Louis MO 63141. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Marquez, Samuel can be contacted via phone (314) 251-6440.

Contact Information

Primary practice address
621 S. New Ballas Road Suite 560A St Louis MO 63141
Phone: (314) 251-6440
Fax: (314) 251-4456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2011013600 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X 46583 Minnesota
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 2011013600 Missouri
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 2011013600 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X MD2018-0066 New Mexico

Profile Details

NPI number 1750380846
LBN Legal business name Marquez, Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jun 11th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750380846 NPPES
Missouri Other 52656089 BNDD

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