Provider Demographics
NPI:1922109354
Name:MARSH, PATRICK JAMES (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JAMES
Last Name:MARSH
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Gender:M
Credentials:DO
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Mailing Address - Street 1:7440 N ORACLE RD
Mailing Address - Street 2:# 7
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6385
Mailing Address - Country:US
Mailing Address - Phone:520-797-5603
Mailing Address - Fax:520-638-5574
Practice Address - Street 1:1925 W ORANGE GROVE RD
Practice Address - Street 2:SUITE 204
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1151
Practice Address - Country:US
Practice Address - Phone:520-797-8555
Practice Address - Fax:520-575-1566
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2015-05-26
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Provider Licenses
StateLicense IDTaxonomies
AZ2502207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ29-10-0093OtherSTATE COMPENSATION FUND
AZAZ0221640OtherBC/BS OF AZ
AZP00216247OtherRAILROAD MEDICARE
AZ2502OtherARIZONA STATE LICENSE
AZP00216247OtherRAILROAD MEDICARE
AZ65167Medicare ID - Type Unspecified