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Individual

MR. CHRIS JOHN MARSHALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(970) 874-7681
Mailing address
PO BOX 1121, DELTA, CO 81416-1121
(970) 874-5346
(970) 874-5346

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
75154
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
043652540001
RMHMO
CO
05
07751548
CO
01
658567
BLUE CROSS
Enumeration date
11/03/2006
Last updated
07/08/2007
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