Individual
DR. JORDON MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
777 HOSPITAL WAY, EMERGENCY DEPARTMENT, POCATELLO, ID 83201-5175
(208) 239-1801
Mailing address
777 HOSPITAL WAY, EMERGENCY DEPARTMENT, POCATELLO, ID 83201-5175
(208) 239-1801
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
O-0700
ID
Other
Enumeration date
05/28/2010
Last updated
08/06/2013
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