Provider Demographics
NPI:1942301924
Name:MARSHALL-INMAN, DARYLL GEORGE (DC)
Entity Type:Individual
Prefix:DR
First Name:DARYLL
Middle Name:GEORGE
Last Name:MARSHALL-INMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24114 E GREYSTONE LN
Mailing Address - Street 2:
Mailing Address - City:WOODWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98020-5226
Mailing Address - Country:US
Mailing Address - Phone:206-755-1226
Mailing Address - Fax:206-533-9254
Practice Address - Street 1:17651 1ST AVE S
Practice Address - Street 2:
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-2715
Practice Address - Country:US
Practice Address - Phone:206-241-3836
Practice Address - Fax:206-241-3967
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003368111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU75266Medicare UPIN
WAG8855872Medicare PIN