Doctor Name: | MS. MARLA S. COUTZ |
NPI Number: | 1750338372 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 01029811 |
Business Practice Address: | 1331 S A St Elwood, IN - 460361942 |
Business Phone Number: | 7655524698 |
Business Fax Number: | 7655524750 |
Mailing Address: | 1331 S A St, ELWOOD |
State: | IN |
Postal Code: | 460361942 |
Phone Number: | 7655524698 |
Fax Number: | 7655524750 |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 01029811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |