NPI 1023863263

Midaya Marshall

Practitioner Military Health Care Provider Louisville, KY

Practice location

Address: 800 Zorn Ave, Louisville, KY 40206-1433
Phone: (502) 287-8000
Mailing address: 5503 Westhall Ave, Louisville, KY 40214-3605

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 33008149A (IN)

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Registry record

NPI: 1023863263
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2024
Record last updated: 22 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.