MEDICARE: DR. CHRISTOPHER L 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	2532	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053412478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER L MARSH D.O.

Provider Business Mailing Address
First Line	:	2001 W ORANGE GROVE RD STE 612
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1141
Country	:	US
Telephone Number	:	520-535-2004
Fax Number	:	520-535-2022

Provider Business Practice Location Address
First Line	:	2001 W ORANGE GROVE RD STE 612
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-1141
Country	:	US
Telephone Number	:	520-535-2004
Fax Number	:	520-535-2022

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	05/19/2022

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