Richard J. Marshall PA

NPI 1679512867 - Physician Assistant - 363A00000X

NPI Details
NPI 1679512867
Gender Male
Enumeration Date 06/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
875 STERTHAUS AVE
ORMOND BEACH FL, 32174-5131, US
Phone (386) 676-6022
Fax
Business Location
894 WILLOW RUN
ORMOND BEACH FL, 32174-6148, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA3688
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According to our database, Richard J. Marshall PA NPI is 1679512867, taxonomy code is 363A00000X and license number is PA3688, license state is located at Florida. Richard J. Marshall PA physically located at 875 Sterthaus Ave, Ormond Beach FL, 32174-5131. NPI Number Richard J. Marshall PA has the Individual type.

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1679512867 NPI number is provided on an as is basis without warranty of any kind. 1679512867 is maintained by the National Plan & Provider Enumeration System. The contents of Richard J. Marshall PA are for informational purposes only.