Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARSHALL LEROY UPSHUR, MD
ActiveDR. MARSHALL LEROY UPSHUR, MD is a Pediatric Optometrist healthcare provider located in WOODBRIDGE, Virginia. NPI 1174681092 is currently active in the NPPES registry. Verify at CMS.
Pediatric Optometrist · WOODBRIDGE, VA
Registration Details
- NPI Number
- 1174681092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 4, 2006 (19.707938047749 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0101037842 (VA)
Practice Information
- Address
-
14139 POTOMAC MILLS ROADWOODBRIDGE, VA, 221924644Browse VA providers · Browse ZIP 22192
- Phone
- 7034908400
- Fax
- 7034907635
- Primary Specialty
-
Pediatric Optometrist
152WP0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.