Provider Demographics
NPI:1801200191
Name:MARSH FAMILY MEDICINE, PLLC.
Entity type:Organization
Organization Name:MARSH FAMILY MEDICINE, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATUTORY AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:LYNCH
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:520-797-5603
Mailing Address - Street 1:7740 N ORACLE RD
Mailing Address - Street 2:BUILDING # 7
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6313
Mailing Address - Country:US
Mailing Address - Phone:520-797-5603
Mailing Address - Fax:520-638-5574
Practice Address - Street 1:7440 N ORACLE RD
Practice Address - Street 2:# 7
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6385
Practice Address - Country:US
Practice Address - Phone:520-797-5603
Practice Address - Fax:520-638-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-16
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ2532207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1578664918OtherINDIVIDUAL NPI: JULIE MORRISON, DO
1801200191OtherMEDICAL GROUP NPI NUMBER
1922109354OtherINDIVIDUAL NPI: PATRICK MARSH, DO
AZAZ2505OtherAZ STATE MEDICAL LICENSE: PATRICK MARSH, DO
1053412478OtherINDIVIDUAL NPI: CHRISTOPHER MARSH, DO
AZ3532OtherAZ STATE MEDICAL LICENSE: CHRISTOPHER MARSH, DO
AZAZ3506OtherAZ STATE MEDICAL LICENSE: JULIE MORRISON, DO
AZ3532OtherAZ STATE MEDICAL LICENSE: CHRISTOPHER MARSH, DO
F53217Medicare UPIN
FD3627Medicare UPIN