Marc A Petein in Peoria - Cardiovascular Disease

Marc A Petein - NPI 1134121825

Marc A Petein is a Cardiovascular Disease in Peoria, Arizona. Marc A Petein practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Marc A Petein is 1134121825. The last update date is 2014-03-10.

Marc A Petein's current location address is 13634 N 93rd Ave, Peoria, Arizona. You can contact this provider via phone number 6238152484 and fax number 6238152483. The mailing address for Marc A Petein is 13634 N 93rd Ave, Peoria, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Marc A Petein
Address 13634 N 93rd Ave, Peoria, Arizona
Phone Number 6238152484
Fax Number 6238152483
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1134121825
Provider Enumeration Date 2005-08-11
Last Updated Date 2014-03-10

Provider Mailing Address Detail

Address 13634 N 93rd Ave
City Peoria
State Arizona (AZ)
Post Code 853814915
Phone Number 6238152484
Fax Number 6238152483

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 15534
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
260464 AZ --

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FAQs about Marc A Petein

What is the unique provider identifier assigned to Marc A Petein?

The Marc A Petein has been issued the NPI (National Provider Identifier) 1134121825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Marc A Petein's facilities are geographically located?

The facilities of Marc A Petein are physically situated at the following location: 13634 N 93Rd Ave, Peoria, AZ, 853814915.

What is Marc A Petein's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Marc A Petein is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.

On what date did the Marc A Petein receive the assignment of its 1134121825 from the Centers for Medicare & Medicaid Services?

The Marc A Petein was issued its 1134121825 by the Centers for Medicare & Medicaid Services on 2005-08-11.

As of what date were the details pertaining to Marc A Petein last refreshed?

The information related to the Marc A Petein, including its address, specialty, and other relevant details, was last updated on 2014-03-10.

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