| Doctor Name: | DR. PHILLIP MARSHALL |
| NPI Number: | 1225295413 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D0067530 |
| Business Practice Address: | 7107 Jahnke Rd Richmond, VA - 232254017 |
| Business Phone Number: | 8043238282 |
| Business Fax Number: | |
| Mailing Address: | 541 Raleigh Manor Rd, HENRICO |
| State: | VA |
| Postal Code: | 232297173 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2008 |
| NPI Last Update Date: | 01/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0067530 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |