Individual
DR. TIMOTHY LEROY MARSHALL
Active
Individual
DR. TIMOTHY LEROY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101029169
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007284
BLUE CROSS/BLUE SHEILD
VA
01
—
12873
OPTIMA
VA
01
—
22678597
TRICARE
VA
01
—
266683
MDIPA
VA
05
—
6059279
—
VA
Enumeration date
08/31/2006
Last updated
02/08/2023
Update your record
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