IndividualActive
John Marcum, MD
NPI 1720113053 · Allergy & Immunology Physician · St Clair, MO
Provider details
- NPI number
- 1720113053
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R3G15 (MO)
Practice location
1020 St Clair Plaza
St Clair, MO 63077
Phone: (636) 629-6030
Fax: (636) 629-6030
Mailing address
1020 St Clair Plaza
St Clair, MO 63077
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2014-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.