Marroquin, Rafael

Marroquin, Rafael is an individual health care provider with primary practice located at 1600 E Broadway , Columbia MO 65201-5844. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Marroquin, Rafael can be contacted via phone (573) 815-3221.

Contact Information

Primary practice address
1600 E Broadway Columbia MO 65201-5844
Fax: (573) 815-6343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 2012020291 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012020291 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2012020291 Missouri

Profile Details

NPI number 1740419431
LBN Legal business name Marroquin, Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Nov 14th, 2023 - about last year

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 1740419431 NPPES
Missouri MEDICAID 204255608

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