| NPI | 1386065480 |
|---|---|
| Doing Business As | MARSHALL PEDIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | LAURIE ELDRIDGE CEO 530-626-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 030000059) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2020-09-08 |