| John Marshall, M.d., P.l.l.c. | |
|
3811 E Bell Rd Ste 106 Phoenix AZ 85032-2158 | |
| (602) 482-6100 | |
| (602) 992-6424 |
| Full Name | John Marshall, M.d., P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 3811 E Bell Rd Ste 106, Phoenix, Arizona |
| Authorized Official Name and Position | John D. Marshall (SINGLE MEMBER / OWNER) |
| Authorized Official Contact | 6024431085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Marshall, M.d., P.l.l.c. 3811 E Bell Rd Ste 106 Phoenix AZ 85032-2158 Ph: (602) 443-1085 | John Marshall, M.d., P.l.l.c. 3811 E Bell Rd Ste 106 Phoenix AZ 85032-2158 Ph: (602) 482-6100 |
| NPI Number | 1013298868 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 06/13/2019 |
| Medicare PECOS PAC ID | 9133392491 |
|---|---|
| Medicare Enrollment ID | O20111101000662 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013298868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10961 (Arizona) | Primary |
| Provider Name | John Duncan Marshall |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780761916 PECOS PAC ID: 4587564323 Enrollment ID: I20110525000229 |
| Provider Name | Thomas R Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194036566 PECOS PAC ID: 7113155466 Enrollment ID: I20140112000016 |
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