Individual
JOHN D MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3811 E BELL RD STE 106, PHOENIX, AZ 85032-2158
(602) 482-6100
(602) 992-6424
Mailing address
3811 E BELL RD, STE 107, PHOENIX, AZ 85032-2158
(602) 482-6100
(602) 992-6424
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10961
AZ
208D00000X
General Practice Physician
10961
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z1830
HEALTHNET PROVIDER ID
AZ
01
—
AZ0722270
BCBS PROVIDER ID
AZ
Enumeration date
11/01/2006
Last updated
09/26/2018
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