Individual
BRITTNEY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 S CHURCH ST, FAYETTE, MO 65248-1243
(660) 642-5911
(660) 248-3450
Mailing address
17014 KLINTON DR, BOONVILLE, MO 65233-3542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023020676
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2020
Last updated
08/21/2024
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