# MARSHALL V. MARCHBANKS, M.D., MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447422043
- **Authorized official:** DR. MARSHALL V MARCHBANKS MD (PRESIDENT)
- **Authorized official phone:** (707) 525-0100

## Contact information

- **Practice address:** 1701 4TH ST, SUITE 200, SANTA ROSA, CA 95404-3601
- **Practice address phone:** (707) 525-0100
- **Practice address fax:** (707) 525-0838
- **Mailing address:** 1701 4TH ST, SUITE 200, SANTA ROSA, CA 95404-3601
- **Mailing address phone:** (707) 525-0100
- **Mailing address fax:** (707) 525-0838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | C40291 | CA | Yes |

## Other

- **Enumeration date:** 03/24/2008
- **Last updated:** 06/08/2009
