Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARCUS R HENNON, D.O
ActiveDR. MARCUS R HENNON, D.O is a Emergency Medical Services healthcare provider located in LEBANON, Missouri. NPI 1568811321 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · LEBANON, MO
Registration Details
- NPI Number
- 1568811321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2016 (9.9891089893823 yrs)
- Last Updated
- Jan 17, 2024
- Licenses
-
125069113 (IL)2018022565 (MO)
Practice Information
- Address
-
100 HOSPITAL DRLEBANON, MO, 655369210Browse MO providers · Browse ZIP 65536
- Phone
- 4175336100
- Primary Specialty
-
Emergency Medical Services
207PE0004X
- Additional Specialty
- Emergency Medical Services
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.