| Organization Name: | PETER MARSHALL, M.D. |
| NPI Number: | 1972795714 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER MARSHALL (OWNER) |
| Mailing Address: | 145 Santa Claus Lane North Pole |
| State: | AK US |
| Postal Code: | 99705 |
| Phone Number: | 9074884433 |
| Fax Number: | 9074889253 |
| NPI Enumeration Date: | 08/15/2007 |
| NPI Last Update Date: | 08/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 1466 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |