Individual
GREGG MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CBRS
Contact information
Practice address
2025 W PARK PL STE B, COEUR D ALENE, ID 83814-2787
(208) 620-5210
(844) 807-3782
Mailing address
PO BOX 1387, HAYDEN, ID 83835-1387
(208) 415-0299
(208) 625-2070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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