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Individual

SANDRA E MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3075 US ROUTE 60 STE B425, HUNTINGTON, WV 25705-8859
(304) 528-4600
Mailing address
3075 US ROUTE 60, HUNTINGTON, WV 25705-8859
(304) 528-4600

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17344
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0070015000
WV
01
070005820
RAILROAD MEDICARE
05
0922783
OH
Enumeration date
06/09/2006
Last updated
04/23/2025
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