DR. Marshall Leroy Upshur, MD

NPI #1174681092 in Woodbridge, Virginia

Provider Information

NPI Number: 1174681092
Entity Type: Individual
Name: DR. Marshall Leroy Upshur, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist - Pediatrics
Credential: MD
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 14139 POTOMAC MILLS ROAD
City: Woodbridge
State: Virginia
ZIP Code: 22192-4644
Phone: (703) 490-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Pediatrics — Pediatrics	152WP0200X	Primary

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