Individual
DANIEL A MARSHALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MEADOWCREST ST, SUITE 160, GRETNA, LA 70056-5255
(504) 391-7620
(504) 391-7524
Mailing address
23 TENNYSON PL, NEW ORLEANS, LA 70131-5444
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
011245
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1129666
—
LA
Enumeration date
07/07/2005
Last updated
02/16/2010
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