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NPI Code Detail

MEDICARE: DR. MARSHAL EARL ASH DO

MEDICARE: DR. MARSHAL EARL ASH 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
12084P0804XChild & Adolescent Psychiatry PhysicianDR.0070475CO
22084P0800XPsychiatry PhysicianDR.0070475CO

General Provider Information

NPI Number : 1255829719
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARSHAL EARL ASH DO
Provider Business Mailing Address
First Line : 3205 N ACADEMY BLVD STE 130
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80917-5152
Country : US
Telephone Number : 719-632-5700
Fax Number :
Provider Business Practice Location Address
First Line : 1815 JET WING DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2300
Country : US
Telephone Number : 719-632-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2018
Last Update Date : 08/24/2023

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