Individual
DR. PHILLIP MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7107 JAHNKE RD, RICHMOND, VA 23225-4017
(804) 323-8282
Mailing address
541 RALEIGH MANOR RD, HENRICO, VA 23229-7173
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101248744
VA
208D00000X
General Practice Physician
D0067530
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225349
JOHN HOPKINS HEALTHCARE, LLC
MD
05
—
416037100
—
MD
01
—
600550578
MAGELLAN
—
01
—
619320
VALUE OPTIONS
MD
01
—
K025BE
BC/BS
MD
01
—
PHCS2263046
PHCS
—
Enumeration date
05/16/2008
Last updated
01/28/2016
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