Individual
MR. DENNIS JAMES MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
13 TIMBERLAND DR, FAIRBANKS, AK 99701-3143
(907) 374-3381
(907) 374-3380
Mailing address
13 TIMBERLAND DR, FAIRBANKS, AK 99701-3143
(907) 374-3381
(907) 374-3380
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO00873
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202752400
OWCP PROSTHEICS/ORTHOTICS
AK
01
—
7862526
AETNA, PROSTHTICS & ORTHO
AK
05
—
PO8040
—
AK
Enumeration date
03/14/2006
Last updated
08/20/2008
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