Organization
MONUMENT PHYSIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT LAIN MARSHALL MD (PRESIDENT)
(360) 296-6660
Entity
Organization
Contact information
Practice address
2055 EXCHANGE ST, SUITE 110, ASTORIA, OR 97103-3419
(503) 338-4030
Mailing address
2560 FOREST HILLS AVE, GRAND JUNCTION, CO 81505-1079
(360) 296-6660
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD28730
OR
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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