Healthcare Provider Details

I. General information

NPI: 1801200191
Provider Name (Legal Business Name): MARSH FAMILY MEDICINE, PLLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2014
Last Update Date: 08/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7440 N ORACLE RD # 7
TUCSON AZ
85704-6385
US

IV. Provider business mailing address

7740 N ORACLE RD BUILDING # 7
TUCSON AZ
85704-6313
US

V. Phone/Fax

Practice location:
  • Phone: 520-797-5603
  • Fax: 520-638-5574
Mailing address:
  • Phone: 520-797-5603
  • Fax: 520-638-5574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberAZ2532
License Number StateAZ

VIII. Authorized Official

Name: DR. CHRISTOPHER LYNCH MARSH
Title or Position: STATUTORY AGENT
Credential: DO
Phone: 520-797-5603