Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 02003657 | IN |
N | 207X00000X | Orthopaedic Surgeon | 5101016235 | MI |
Y | 207X00000X | Orthopaedic Surgeon | 6022 | OK |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 5101016235 | MI |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 6022 | OK |
NPI | 1306969738 |
---|---|
Provider Name | Dr. Robert S Marsh |
First Address | Tulsa, OK 74137-4265 |
Second Address | Tulsa, OK 74137-4265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 09/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200653030A | (05) | OK |