Individual provider · Type 1 NPI
Midaya Marshall
Military Health Care Provider · Louisville, KY
NPI number
1023863263
Active
Practice location
800 Zorn Ave
Louisville, KY 40206-1433
Mailing address
5503 Westhall Ave
Louisville, KY 40214-3605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 33008149A (IN) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1023863263
Midaya Marshall's National Provider Identifier is 1023863263, issued on Apr 22, 2024. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Louisville, KY. The record was last updated on Apr 22, 2024.