Individual
MR. PHILLIP MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 GRAFTON LN, BERRYVILLE, VA 22611-2576
(540) 955-2400
Mailing address
180 GRAFTON LN, BERRYVILLE, VA 22611-2576
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
0001202343
VA
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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