Individual provider · Type 1 NPI

Marshall Roy Koon, PA-C

Medical Physician Assistant · Apple Valley, CA

NPI number 1982939302 Active

Practice location

18300 US Highway 18
Apple Valley, CA 92307-2206

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA20578 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1982939302

Marshall Roy Koon, PA-C's National Provider Identifier is 1982939302, issued on Oct 4, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Apple Valley, CA. The record was last updated on Oct 4, 2009.