Dr DANIEL R MARSHALL is a male medical professional, specializing in Dermatology. He graduated in 2005 from Kirksville College Of Osteopathic Medicine.
ALPINE DERMATOLOGY CLINIC P.C.
927 S UTAH AVE
SUITE 200
IDAHO FALLS
ID
834023322
Tel: 2053594841
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 |
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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 |
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Professional Accepts Medicare Assignment | Y |
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