Individual
TIMOTHY JAMES MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.R.N.
Contact information
Practice address
200 N 400 E, PANGUITCH, UT 84759-0389
(435) 676-8842
Mailing address
PO BOX 389, 200 N 400 E, PANGUITCH, UT 84759-0389
(435) 676-8842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
363714-4405
UT
363LF0000X
Family Nurse Practitioner
363714-8900
UT
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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