Provider Demographics
NPI:1861400863
Name:MARSHALL, TOBY REID (MD)
Entity type:Individual
Prefix:DR
First Name:TOBY
Middle Name:REID
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1231
Mailing Address - Street 2:
Mailing Address - City:HAVRE
Mailing Address - State:MT
Mailing Address - Zip Code:59501-1231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1410 1ST AVE
Practice Address - Street 2:
Practice Address - City:HAVRE
Practice Address - State:MT
Practice Address - Zip Code:59501-6207
Practice Address - Country:US
Practice Address - Phone:406-265-5408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2025-03-26
Deactivation Date:2022-09-08
Deactivation Code:
Reactivation Date:2022-09-21
Provider Licenses
StateLicense IDTaxonomies
MT144551207V00000X
WY6859A207V00000X
NE24819207V00000X
FLME134192207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAMD-38815OtherLICENSE
IA075120020Medicare PIN
NE47068731712Medicaid
NE10026211300Medicaid
H97283Medicare UPIN
NE47068731777Medicaid
IA058970016Medicare PIN