Individual
DR. LESLIE ANN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1210 N KENTUCKY AVE, WEST PLAINS, MO 65775-2030
(417) 256-9111
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 256-9111
(417) 257-5947
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2015018546
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200062024
—
MO
Enumeration date
04/05/2010
Last updated
09/24/2024
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