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General NPI Number Information
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NPI Number | 1710030044
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Entity Type | Individual
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Provider Name | NATHAN ANDREW MARSH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1919 LATHROP ST
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City | FAIRBANKS
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State | AK
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Zip | 99701-5937
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Country | US
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Telephone | 907-459-3545
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Fax | 907-328-0474
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Provider Business Mailing Address
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Address Line | 300 W HOSPITAL RD EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS
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City | AUGUSTA
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State | GA
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Zip | 30905-5741
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Country | US
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Telephone | 706-787-2720
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Fax | 706-787-8176
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 58800
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 240356
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 240356
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License Number State | AK
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