Individual
DR. TRAVIS G MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
808 FREMONT ST, ASHTON, ID 83420-1210
(307) 359-9566
Mailing address
PO BOX 804, ASHTON, ID 83420-0804
(307) 359-9566
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2008027655
MO
213ES0103X
Foot & Ankle Surgery Podiatrist
141
WY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P-282
ID
Other
Enumeration date
03/27/2010
Last updated
09/27/2023
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