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Individual

MR. DENNIS JAMES MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPO

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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