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Individual

CHRISTOPHER MARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
(805) 468-2000
(805) 468-6011
Mailing address
1600 9TH ST, ROOM 150 FISCAL ALLOCATIONS AND ESTIMATES UNIT, SACRAMENTO, CA 95814-6414
(916) 651-9475
(916) 651-8908

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1333
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1333
STATE LICENSE
NV
Enumeration date
06/04/2007
Last updated
07/15/2013
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