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Contact Information

TARA L MARSHALL, MD
2021 N 12TH ST
COMMUNITY HOSPITAL
GRAND JUNCTION, CO81501
 Phone: 970-256-6463
 Fax: 970-256-6512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for TARA L MARSHALL · (Female)

NPI Number 1942281498
Status Active
Credentials MD
Entity Individual
Enumeration date 11/10/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # 40612
  • CO Medicaid 35573864
  • UT Medicaid T0158
  • Other P00171104 RAILROAD MEDICARE
Hospital affiliation(s)
  • ST MARYS HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2635 N 7TH STREET
    GRAND JUNCTION, CO 81502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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