DANIEL R MARSHALL

ALPINE DERMATOLOGY CLINIC P.C.

Dr DANIEL R MARSHALL is a male medical professional, specializing in Dermatology. He graduated in 2005 from Kirksville College Of Osteopathic Medicine.

Contact

ALPINE DERMATOLOGY CLINIC P.C.

927 S UTAH AVE
SUITE 200
IDAHO FALLS
ID
834023322

Tel: 2053594841

DANIEL R MARSHALL Information

Npi 1861583486
Pac Id 1254428535
Professional Enrollment Id I20090714000389
Last Name MARSHALL
First Name DANIEL
Middle Name R
Suffix
Gender M
Credential
Medical School Name KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 2005
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALPINE DERMATOLOGY CLINIC P.C.
Group Practice Pac Id 5698827640
Number Of Group Practice Members 3
Line 1 Street Address 927 S UTAH AVE
Line 2 Street Address SUITE 200
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834023322
Phone Number 2053594841
Hospital Affiliation Ccn 1 130018
Hospital Affiliation Lbn 1 EASTERN IDAHO REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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