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 1:380 DIABLO RD STE 201
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3410
Mailing Address - Country:US
Mailing Address - Phone:925-831-1898
Mailing Address - Fax:925-831-4910
Practice Address - Street 1:380 DIABLO RD STE 201
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3410
Practice Address - Country:US
Practice Address - Phone:925-381-1898
Practice Address - Fax:925-831-4910
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5354213ES0103X
CA5354213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery