Individual
DR. PAUL W MARSHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1616 E MARYLAND AVE, PHOENIX, AZ 85016-1302
(602) 788-1521
(602) 688-5420
Mailing address
1616 E MARYLAND AVE, PHOENIX, AZ 85016-1302
(602) 788-1521
(602) 688-5420
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
26784
AZ
207VG0400X
Gynecology Physician
26784
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2032538
AETNA
AZ
05
—
432922
—
AZ
01
—
AZ0862820
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/17/2005
Last updated
02/14/2014
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