MARSHALL V. MARCHBANKS, M.D., MEDICAL CORP
Radiology at 4 St, Santa Rosa, CA

License number
California C40291
Category
Radiology
Type
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Owner
Name: DR. MARSHALL V MARCHBANKS MD
Title: PRESIDENT
Phone: (707) 525-0100
Address
Address
1701 4Th St SUITE 200, Santa Rosa, CA 95404
National Provider ID: 1447422043
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARSHALL V. MARCHBANKS, M.D., MEDICAL CORPORATION

1701 4 St #200, Santa Rosa, CA 95404

Status:
Inactive
Registration:
Feb 6, 1979
State ID:
C0909977
Agent:
Carol S Wyckoff,Santa Rosa, CA 95404 (Physical)

MARSHALL V. MARCHBANKS, M.D., A MEDICAL CORPORATION

1111 Sonoma Ave #114, Santa Rosa, CA 95405

Status:
Inactive
Registration:
Jun 1, 1982
State ID:
C1113035
Agent:
Marshall V Marchbanks,Santa Rosa, CA 95405 (Physical)

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