Individual provider · Type 1 NPI

Marshall Alan Fiscus, PHYSICIAN ASSISTANT

Medical Physician Assistant · Jbsa Randolph, TX

NPI number 1861427601 Active

Practice location

221 3rd St W # BULD1040
Jbsa Randolph, TX 78150-4800

Mailing address

Hq Aetc A3N, 73 Main Circle Bld 661
Jbsa Randolph, TX 78150-4549

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1861427601

Marshall Alan Fiscus, PHYSICIAN ASSISTANT's National Provider Identifier is 1861427601, issued on Jul 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jbsa Randolph, TX. The record was last updated on May 10, 2018.