Provider Demographics
NPI:1992986434
Name:MARSH, ROBERT ANTHONY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:MARSH
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 4300
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9183
Mailing Address - Country:US
Mailing Address - Phone:304-598-6127
Mailing Address - Fax:304-598-6130
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 4300
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506-9183
Practice Address - Country:US
Practice Address - Phone:304-598-6127
Practice Address - Fax:304-598-6130
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC127813207T00000X
WV25136207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC52214BMedicare UPIN