Provider Demographics
NPI:1699767830
Name:MARSHALL, WILLIAM (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4100 TRUXTUN AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0678
Mailing Address - Country:US
Mailing Address - Phone:661-632-1540
Mailing Address - Fax:661-632-1538
Practice Address - Street 1:4100 TRUXTUN AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0678
Practice Address - Country:US
Practice Address - Phone:661-632-1540
Practice Address - Fax:661-632-1538
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5524207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE20278Medicare UPIN