Individual provider · Type 1 NPI
Ty Daniel Marshall, PA-C
Surgical Physician Assistant · Quincy, MA
NPI number
1932606712
Active
Practice location
290 Quarry St Apt 812
Quincy, MA 02169-4154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Quincy
About NPI 1932606712
Ty Daniel Marshall, PA-C's National Provider Identifier is 1932606712, issued on Apr 9, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Quincy, MA. The record was last updated on Apr 9, 2018.