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Individual

DR. ZACHARY WADE MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
205 N OAK ST UNIT B, ROANOKE, TX 76262-7001
(682) 593-9355
(608) 713-8024
Mailing address
205 N OAK ST UNIT B, ROANOKE, TX 76262-7001
(682) 593-9355
(608) 713-8024

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
R5893
TX
207R00000X
Internal Medicine Physician
BP10046672
TX

Other

Enumeration date
05/12/2013
Last updated
09/17/2020
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