Provider Demographics
NPI:1053412478
Name:MARSH, CHRISTOPHER L (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:L
Last Name:MARSH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2001 W ORANGE GROVE RD STE 612
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1141
Mailing Address - Country:US
Mailing Address - Phone:520-535-2004
Mailing Address - Fax:520-535-2022
Practice Address - Street 1:2001 W ORANGE GROVE RD STE 612
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1141
Practice Address - Country:US
Practice Address - Phone:520-535-2004
Practice Address - Fax:520-535-2022
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2022-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2532207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ144710Medicaid
AZ119080Medicare PIN
AZ144710Medicaid