Individual
CHRISTOPHER TODD MARAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1051 4TH AVE, GALLIPOLIS, OH 45631-1562
(740) 446-5244
(740) 446-6300
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5244
(740) 446-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.008258
OH
208D00000X
General Practice Physician
34.008258
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000492056
OH MEDICAID UNISON
OH
05
—
2932876
—
OH
01
—
310917085293
OH MEDICAID CARESOURCE
OH
05
—
3810020351
—
WV
Enumeration date
07/16/2006
Last updated
10/26/2020
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