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NPI Code Detail

MEDICARE: DARRAH CRAIG MARSHALL

MEDICARE:   DARRAH CRAIG MARSHALL
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1487166989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARRAH CRAIG MARSHALL
Provider Business Mailing Address
First Line : 1549 E 70TH ST STE 300
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-5056
Country : US
Telephone Number : 318-300-3898
Fax Number : 318-797-4241
Provider Business Practice Location Address
First Line : 1549 E 70TH ST STE 300
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-5056
Country : US
Telephone Number : 318-300-3898
Fax Number : 318-797-4241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2017
Last Update Date : 12/08/2025

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Directions to “ DARRAH CRAIG MARSHALL ” Practice Location

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