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Individual

DR. GAILEN DAUGHERTY MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
18705
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03152381
MS
05
1723380
LA
Enumeration date
06/16/2006
Last updated
01/24/2017
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