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Individual
MR. JAMES MARSHALL
Active
Individual
MR. JAMES MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
132
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434928
—
MT
Enumeration date
04/26/2007
Last updated
10/12/2016
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