Vivian M Marcuzzo in Mesa - Physician Assistant
Vivian M Marcuzzo - NPI 1932215407
Vivian M Marcuzzo is a Physician Assistant in Mesa, Arizona. Vivian M Marcuzzo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Vivian M Marcuzzo is 1932215407. The last update date is 2021-01-07.
Vivian M Marcuzzo's current location address is 6112 E Brown Rd, Mesa, Arizona. You can contact this provider via phone number 4804480244 and fax number 4809244140. The mailing address for Vivian M Marcuzzo is 6112 E Brown Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vivian M Marcuzzo |
|---|---|
| Address | 6112 E Brown Rd, Mesa, Arizona |
| Phone Number | 4804480244 |
| Fax Number | 4809244140 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1932215407 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2021-01-07 |
Provider Mailing Address Detail
| Address | 6112 E Brown Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852054955 |
| Phone Number | 4804480244 |
| Fax Number | 4809244140 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA17936 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA17938 | CA | -- | |
| P00281443 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Vivian M Marcuzzo's 1932215407?
The Vivian M Marcuzzo's NPI (National Provider Identifier) Number is 1932215407. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Vivian M Marcuzzo is physically located?
The Vivian M Marcuzzo is physically situated at the following address: 6112 E Brown Rd, Mesa, AZ, 852054955.
What is Vivian M Marcuzzo's area of expertise and its corresponding taxonomy classification?
The Vivian M Marcuzzo's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Vivian M Marcuzzo receive the assignment of its 1932215407 from the Centers for Medicare & Medicaid Services?
The Vivian M Marcuzzo was issued its 1932215407 by the Centers for Medicare & Medicaid Services on 2006-08-21.
As of what date were the Vivian M Marcuzzo's details last updated?
The information pertaining to the Vivian M Marcuzzo, including its address, specialty, and other details, was most recently updated on 2021-01-07.
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