Individual
LEVI SCOTT MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
EVERETT CREEK ROAD, BUILDING 612, CAMP LEJEUNE, NC 28546
(910) 440-1947
Mailing address
3D MRB PSC, BOX 20073, CAMP LEJEUNE, NC 28546
(910) 440-1947
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
NC
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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