Marc E Gottlieb in Phoenix - Plastic And Reconstructive Surgery
Marc E Gottlieb - NPI 1275521635
Marc E Gottlieb is a Plastic And Reconstructive Surgery in Phoenix, Arizona. Marc E Gottlieb practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Marc E Gottlieb is 1275521635. The last update date is 2016-07-01.
Marc E Gottlieb's current location address is 1012 E Willetta Street, Phoenix, Arizona. You can contact this provider via phone number 6028396040 and fax number 6028394375. The mailing address for Marc E Gottlieb is 1012 E Willetta Street, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc E Gottlieb |
|---|---|
| Address | 1012 E Willetta Street, Phoenix, Arizona |
| Phone Number | 6028396040 |
| Fax Number | 6028394375 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275521635 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2016-07-01 |
Provider Mailing Address Detail
| Address | 1012 E Willetta Street |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85006 |
| Phone Number | 6028396040 |
| Fax Number | 6028394375 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 20039 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 53025 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marc E Gottlieb by the Centers for Medicare & Medicaid Services?
The Marc E Gottlieb has been assigned the NPI (National Provider Identifier) 1275521635 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Marc E Gottlieb is physically located?
The Marc E Gottlieb is situated at the following address: 1012 E Willetta Street, Phoenix, AZ 85006.
What is Marc E Gottlieb's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marc E Gottlieb's area of specialization is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0122X.
On what date did the Marc E Gottlieb receive its 1275521635 assignment from the Centers for Medicare & Medicaid Services?
The Marc E Gottlieb was assigned its 1275521635 by the Centers for Medicare & Medicaid Services on 2005-10-10.
When was the information related to Marc E Gottlieb most recently updated or refreshed?
The details pertaining to the Marc E Gottlieb, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-07-01.