Individual
MARSHALL EDWARD EIDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2220 CANTERBURY DR, HAYS, KS 67601-2370
(785) 623-5555
Mailing address
2220 CANTERBURY DR, HAYS, KS 67601-2370
(785) 623-5555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05-32944
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200548360A
—
KS
Enumeration date
10/31/2005
Last updated
03/08/2016
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