| Doctor Name: | GERALD MARSHALL |
| NPI Number: | 1932401429 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 5120 |
| Business Practice Address: | 750 E Thunderbird Rd Phoenix, AZ - 850225306 |
| Business Phone Number: | 6022866122 |
| Business Fax Number: | 6028661288 |
| Mailing Address: | 3516 E Sunnyside Dr, PHOENIX |
| State: | AZ |
| Postal Code: | 850282043 |
| Phone Number: | 6024040804 |
| Fax Number: | |
| NPI Enumeration Date: | 12/03/2010 |
| NPI Last Update Date: | 12/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5120 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |