Provider Demographics
NPI:1689211476
Name:MUNRO, MARSH HENDERSON (DC)
Entity Type:Individual
Prefix:DR
First Name:MARSH
Middle Name:HENDERSON
Last Name:MUNRO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E RACQUET CLUB RD UNIT 24
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-2224
Mailing Address - Country:US
Mailing Address - Phone:760-296-8551
Mailing Address - Fax:
Practice Address - Street 1:4050 AIRPORT CENTER DR STE G
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-1216
Practice Address - Country:US
Practice Address - Phone:760-320-1956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-29
Last Update Date:2019-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25602111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor