Individual
MATTHEW MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613
(520) 533-9026
Mailing address
2240 WINROW AVE, USA MEDDAC, RWBAHC, FORT HUACHUCA, AZ 85613
(520) 533-9026
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
13-91206-071
KS
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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