=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548482391
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARIZONA PROFESSIONAL MEDICAL ASSOCIATES, LTD.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/02/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 541 W WETMORE RD
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85705-1521
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-888-7095
-----------------------------------------------------
Fax | 520-888-7245
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 541 W WETMORE RD
-----------------------------------------------------
City | TUCSON
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85705-1521
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 520-888-7095
-----------------------------------------------------
Fax | 520-888-7245
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. CHRISTOPHER LYNCH MARSH
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 520-888-7095
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 2532
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------