MEDICARE: MARSHA NORRIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	01037691A	IN
2	208000000X	Pediatrics Physician	01037691A	IN

General Provider Information

NPI Number	:	1780623256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHA NORRIS M.D.

Provider Business Mailing Address
First Line	:	8101 CLEARVISTA PKWY
Second Line	:	STE 185
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46256-4696
Country	:	US
Telephone Number	:	317-621-9000
Fax Number	:	317-621-9194

Provider Business Practice Location Address
First Line	:	9669 E 146TH ST STE 300
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-5006
Country	:	US
Telephone Number	:	317-621-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	04/18/2018

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