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NPI Code Detail

MEDICARE: DANIELLE MARSHALL DO

MEDICARE: DANIELLE MARSHALL DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianDR.0063815CO

General Provider Information

NPI Number : 1992225551
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE MARSHALL DO
Provider Business Mailing Address
First Line : 1230 14TH ST SW
Second Line :
City : LOVELAND
State : CO
Zip : 80537-6324
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1230 14TH ST SW
Second Line :
City : LOVELAND
State : CO
Zip : 80537-6324
Country : US
Telephone Number : 970-820-3999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2017
Last Update Date : 08/27/2020

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Directions to “ DANIELLE MARSHALL DO” Practice Location

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