DR. Jacob C. Marshall JR., M.D.

NPI #1922081249 in O Fallon, Illinois

Provider Information

NPI Number: 1922081249
Entity Type: Individual
Name: DR. Jacob C. Marshall JR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Nov 21, 2005
Last Updated: Jul 12, 2010

Practice Location

Address: 103 N OAK ST
City: O Fallon
State: Illinois
ZIP Code: 62269-1165
Phone: (888) 577-6337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Emergency Medicine	207P00000X

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