Individual
DR. VERLAN TRACY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6707 N 19TH AVE STE 103, PHOENIX, AZ 85015-1105
(602) 274-4100
(602) 246-1565
Mailing address
6707 N 19TH AVE STE 103, PHOENIX, AZ 85015-1105
(602) 274-4100
(602) 246-1565
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0532
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
754110
—
AZ
Enumeration date
10/04/2006
Last updated
08/19/2014
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