Individual
MARSHALL EUGENE EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2781
(928) 283-2677
Mailing address
PO BOX 600, PFS BUSINESS OFFICE, TUBA CITY, AZ 86045-0600
(928) 283-2094
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041287209
IL
163W00000X
Registered Nurse
618762
TX
163W00000X
Registered Nurse
688164
CA
163W00000X
Registered Nurse
Primary
RN159319
AZ
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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