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Contact Information

JACK E MARSHALL, MD
14100 PARKWAY COMMONS DR STE 102
OKLAHOMA CITY, OK73134-6036
 Phone: 406-286-9820
 Fax: 405-286-9813
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JACK E MARSHALL · (Male)

NPI Number 1982608873
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2005
Last updated 02/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 15252
  • OK Medicaid 100124480A
  • OK Other P00445607 MEDICARE RR
  • OK Other 050058014 OLD MEDICARE RR
Hospital affiliation(s) Not Available
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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