Organization
MARSHALL SURGICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS WAYNE CLINK M.D. (PRESIDENT)
(256) 593-1611
Entity
Organization
Contact information
Practice address
2525 US HIGHWAY 431, SUITE 170, BOAZ, AL 35957-5934
(256) 593-1611
(256) 840-4596
Mailing address
2525 US HIGHWAY 431, SUITE 170, BOAZ, AL 35957-5934
(256) 593-1611
(256) 840-4596
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528800440
—
AL
Enumeration date
01/15/2007
Last updated
02/17/2012
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