Provider Demographics
NPI:1811259682
Name:MARSH, BENJAMIN LEE (MD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:LEE
Last Name:MARSH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9300 VALLEY CHILDRENS PL
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-8761
Mailing Address - Country:US
Mailing Address - Phone:559-353-5700
Mailing Address - Fax:559-353-5708
Practice Address - Street 1:6501 COYLE AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-0306
Practice Address - Country:US
Practice Address - Phone:916-537-5210
Practice Address - Fax:916-537-5051
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2022-05-31
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Provider Licenses
StateLicense IDTaxonomies
CA14171285208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics