Individual
GERALD MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E THUNDERBIRD RD, PHOENIX, AZ 85022-5306
(602) 286-6122
(602) 866-1288
Mailing address
3516 E SUNNYSIDE DR, PHOENIX, AZ 85028-2043
(602) 404-0804
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5120
AZ
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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