Doctor Name: | DR. JON BARRY MARSHALL |
NPI Number: | 1245386481 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 482 |
Business Practice Address: | 450 E Pass Rd Ste 9 Gulfport, MS - 395073212 |
Business Phone Number: | 2288968619 |
Business Fax Number: | 2288968619 |
Mailing Address: | 450 E Pass Rd Ste 9, GULFPORT |
State: | MS |
Postal Code: | 395073212 |
Phone Number: | 2288968619 |
Fax Number: | 2288968619 |
NPI Enumeration Date: | 01/27/2007 |
NPI Last Update Date: | 05/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 482 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |