MEDICARE: DR. PATRICK JAMES MARSH D.O.

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	207Q00000X	Family Medicine Physician	2502	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00216247	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	29-10-0093	OTHER	AZ	STATE COMPENSATION FUND
2	AZ0221640	OTHER	AZ	BC/BS OF AZ
4	2502	OTHER	AZ	ARIZONA STATE LICENSE

General Provider Information

NPI Number	:	1922109354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK JAMES MARSH D.O.

Provider Business Mailing Address
First Line	:	7440 N ORACLE RD
Second Line	:	# 7
City	:	TUCSON
State	:	AZ
Zip	:	85704-6385
Country	:	US
Telephone Number	:	520-797-5603
Fax Number	:	520-638-5574

Provider Business Practice Location Address
First Line	:	1925 W ORANGE GROVE RD
Second Line	:	SUITE 204
City	:	TUCSON
State	:	AZ
Zip	:	85704-1151
Country	:	US
Telephone Number	:	520-797-8555
Fax Number	:	520-575-1566

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	05/26/2015

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Directions to “ DR. PATRICK JAMES MARSH D.O.” Practice Location

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