Koon, Marshall Roy

Koon, Marshall Roy is an individual health care provider with primary practice located at 18300 Us Highway 18 , Apple Valley CA 92307-2206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Koon, Marshall Roy can be contacted via phone (760) 242-2311.

Contact Information

Primary practice address
18300 Us Highway 18 Apple Valley CA 92307-2206
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA20578 California

Profile Details

NPI number 1982939302
LBN Legal business name Koon, Marshall Roy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2009
Last updated Oct 4th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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