Provider Demographics
NPI:1376958405
Name:MARSHALL, CHRISTYN (DPM)
Entity Type:Individual
Prefix:
First Name:CHRISTYN
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:CHRISTYN
Other - Middle Name:
Other - Last Name:ROSSITER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:2301 CAMINO RAMON STE 290
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-2060
Mailing Address - Country:US
Mailing Address - Phone:925-831-1898
Mailing Address - Fax:925-831-4910
Practice Address - Street 1:2301 CAMINO RAMON STE 290
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-2060
Practice Address - Country:US
Practice Address - Phone:925-831-1898
Practice Address - Fax:925-831-4910
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPL60468350213ES0103X
CAE5354213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery