Organization Name: | DANIEL P MARSHALL MD |
NPI Number: | 1346419454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL PAYNE MARSHALL (OWNER) |
Mailing Address: | 515 N Highland St Memphis |
State: | TN US |
Postal Code: | 381224572 |
Phone Number: | 9013231200 |
Fax Number: | 9014526823 |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 12/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD0000009649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |