NPI 1407173982

Marshal T Gwynn, DPM

Practitioner Podiatrist Princeton, WV

Practice location

Address: 401 Rogers St, Princeton, WV 24740-3636
Phone: (304) 487-9442
Fax: (330) 536-0069
Mailing address: PO Box 365, Prosperity, WV 25909-0365

Registered specialties (2)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 0103301085 (VA)

Other Podiatrist providers in West Virginia →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 10436 (WV)

Registry record

NPI: 1407173982
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2010
Record last updated: 9 Jun 2020

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.