Individual
JUSTIN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 N 300 W STE 104, PROVO, UT 84604-3381
(801) 379-6700
(801) 225-1525
Mailing address
PO BOX 1623, EVANSVILLE, IN 47706-0025
(541) 758-5047
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13816321-1204
UT
2085R0202X
Diagnostic Radiology Physician
DO2023-0585
NM
Other
Enumeration date
03/29/2018
Last updated
06/20/2024
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