Individual
JEFFREY L. MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 260-A, SAINT LOUIS, MO 63141-8232
(314) 251-4772
(314) 251-5772
Mailing address
621 S NEW BALLAS RD, SUITE 260-A, SAINT LOUIS, MO 63141-8232
(314) 251-4772
(314) 251-5772
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
R7998
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200508315
—
MO
Enumeration date
08/23/2006
Last updated
05/06/2011
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