Healthcare Provider Details

I. General information

NPI: 1831373117
Provider Name (Legal Business Name): MARSHALL ARBUTHNOT CAIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2007
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2485 TOWER DR SUITE 9
MONROE LA
71201-5768
US

IV. Provider business mailing address

2485 TOWER DR SUITE 9
MONROE LA
71201-5768
US

V. Phone/Fax

Practice location:
  • Phone: 318-600-4159
  • Fax: 318-600-4473
Mailing address:
  • Phone: 318-600-4159
  • Fax: 318-600-4473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number205866
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: