Most Relevant Information
Provider Data
| NPI Number: | 1003522954 |
| Provider Name: | MARCUS ERNEST KONYI KOMETA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 286453 |
Most Important Dates
| Enumeration Date: | 01/24/2023 |
| Last Updated: | 01/24/2023 |
Provider Practice Location
2500 E VAN BUREN ST
PHOENIX
AZ
850086037
Practice Location Phone/Fax
| Phone: | 6026853100 |
| Fax: |
Provider Mailing Location
6811 W PLEASANT LN
LAVEEN
AZ
853392660
Provider Mailing Phone/Fax
| Phone: | 4802523484 |
| Fax: |