Individual
MARSHALL ROY KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
Mailing address
18300 US HIGHWAY 18, APPLE VALLEY, CA 92307-2206
(760) 242-2311
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20578
CA
Other
Enumeration date
10/04/2009
Last updated
10/04/2009
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