Individual
ERIC RAY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
150 N 27TH ST, BELLEVILLE, IL 62226-6621
(618) 235-2713
Mailing address
150 N 27TH ST, BELLEVILLE, IL 62226-6621
(618) 235-2713
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
041445206
IL
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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