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Individual

KIAH MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5535
(315) 492-5222
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5535
(315) 492-5222

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
256447
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03215794
NY
Enumeration date
01/19/2009
Last updated
06/06/2023
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