Most Relevant Information
Provider Data
| NPI Number: | 1003519059 |
| Provider Name: | MARIEL MA MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2023 |
| Last Updated: | 05/08/2023 |
Provider Practice Location
400 N 32ND ST
PHOENIX
AZ
850086205
Practice Location Phone/Fax
| Phone: | 6028393927 |
| Fax: | 6028394233 |
Provider Mailing Location
400 N 32ND ST
PHOENIX
AZ
850086205
Provider Mailing Phone/Fax
| Phone: | 6028393927 |
| Fax: | 6028394233 |