Individual
COLIN THOMAS MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
25 S REDROCK DR, CANNONVILLE, UT 84718-8001
(435) 679-8545
Mailing address
PO BOX 389, PANGUITCH, UT 84759-0389
(435) 679-8545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
361780-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164751319
—
UT
Enumeration date
12/17/2009
Last updated
03/12/2026
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