Individual
JUSTIN MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CONCOURSE PKWY S STE 200, MAITLAND, FL 32751-6114
(407) 767-6411
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
04-38026
KS
207W00000X
Ophthalmology Physician
2015014708
MO
207W00000X
Ophthalmology Physician
Primary
ME143292
FL
Other
Enumeration date
07/06/2010
Last updated
09/25/2020
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