Individual
JOHN B MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8788
(573) 882-3131
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MDR2A21
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202451407
—
MO
Enumeration date
05/08/2006
Last updated
08/10/2012
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