Provider Demographics
NPI:1194726240
Name:MARSH, BARBARA CHARLOTTE (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:CHARLOTTE
Last Name:MARSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8801 HORIZON BLVD NE
Mailing Address - Street 2:SUITE 360
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-1533
Mailing Address - Country:US
Mailing Address - Phone:505-828-4923
Mailing Address - Fax:505-213-0103
Practice Address - Street 1:5757 HARPER DRIVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109
Practice Address - Country:US
Practice Address - Phone:505-888-5757
Practice Address - Fax:595-889-3589
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2008-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2006-0104207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM33089370Medicaid
NMP00323158OtherRRB MEDICARE RAILROAD
NMNM00PA37OtherBC BS OF NM
AZ102981Medicaid
AZ102981Medicaid
NMI31337Medicare UPIN