| Daniel A Marshall Jr, MD | |
|
120 Meadowcrest St, Suite 160, Gretna, LA 70056-5255 | |
| (504) 391-7620 | |
| (504) 391-7524 |
| Full Name | Daniel A Marshall Jr |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Procedural Dermatology |
| Location | 120 Meadowcrest St, Gretna, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073510798 | NPI | - | NPPES |
| 1129666 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | 011245 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel A Marshall Jr, MD 23 Tennyson Pl, New Orleans, LA 70131-5444 Ph: () - | Daniel A Marshall Jr, MD 120 Meadowcrest St, Suite 160, Gretna, LA 70056-5255 Ph: (504) 391-7620 |
Gordon J Russo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 120 Meadowcrest St, Suite 160, Gretna, LA 70056 Phone: 504-391-7620 Fax: 504-391-7524 | |
Glenn Gerard Russo, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 120 Meadowcrest St, Suite 160, Gretna, LA 70056 Phone: 504-391-7620 Fax: 504-391-7624 |