Provider Demographics
NPI:1982855334
Name:MARSHALL, RYAN PHILIP (DO)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:PHILIP
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 TOWN SQUARE BLVD STE 218
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-5080
Mailing Address - Country:US
Mailing Address - Phone:828-684-1212
Mailing Address - Fax:
Practice Address - Street 1:30 TOWN SQUARE BLVD STE 218
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-5080
Practice Address - Country:US
Practice Address - Phone:828-684-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-00063208600000X, 2086S0122X
MT352932086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery