Individual
DENVER C MARSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 N MAGDALEN ST, SAN ANGELO, TX 76903-5400
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D6082
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136859907
—
TX
Enumeration date
11/07/2005
Last updated
12/24/2012
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