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J Marshall Anthony Do Jd Ltd

NPI #1699786111 in Las Vegas, Nevada

Provider Information

NPI Number
1699786111
Entity Type
Organization
Organization Name
J Marshall Anthony Do Jd Ltd
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Aug 10, 2006
Last Updated
Nov 19, 2007

Practice Location

Address
3100 E CHARLESTON BLVD
Address 2
STE 109
City
Las Vegas
State
Nevada
ZIP Code
89104-6665
Phone
(702) 641-6008

Authorized Official

Name
JAMES ANTHONY
Title
PHYSICIAN
Phone
(702) 641-6008

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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