Doctor Name: | CHRISTOPHER TODD MARAZON |
NPI Number: | 1700803699 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 34.008258 |
Business Practice Address: | 1051 4th Ave Gallipolis, OH - 456311562 |
Business Phone Number: | 7404465244 |
Business Fax Number: | 7404466300 |
Mailing Address: | 90 Jackson Pike, GALLIPOLIS |
State: | OH |
Postal Code: | 456311560 |
Phone Number: | 7404465244 |
Fax Number: | 7404466300 |
NPI Enumeration Date: | 07/16/2006 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34.008258 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |