| Steven Maron, MD | |
|
1260 S Campbell Ave, Building 1, Green Valley, AZ 85614-0503 | |
| (520) 407-5800 | |
| (520) 407-5990 |
| Full Name | Steven Maron |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1260 S Campbell Ave, Green Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366488686 | NPI | - | NPPES |
| 100771310 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 36692 (Arizona) | Primary |
| 208000000X | Pediatrics | MA045819 (New Jersey) | Secondary |
| 208000000X | Pediatrics | MD035364F (Pennsylvania) | Secondary |
| Entity Name | San Luis Walk-in Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Maron, MD 1260 S Campbell Ave, Building 2, Green Valley, AZ 85614-0503 Ph: (520) 407-5600 | Steven Maron, MD 1260 S Campbell Ave, Building 1, Green Valley, AZ 85614-0503 Ph: (520) 407-5800 |
Dr. George Allen Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 96 N Los Olmos, Green Valley, AZ 85614 Phone: 520-777-6026 | |
Mary S Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 White House Canyon Rd, Green Valley, AZ 85614 Phone: 520-625-3691 Fax: 520-625-2894 | |
Thomas J Hausam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 Whitehouse Canyon Rd, Green Valley, AZ 85614 Phone: 520-625-3691 Fax: 520-625-2894 | |
Dr. Dean D Ettinger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2581 E Murdoch Ct, Green Valley, AZ 85614 Phone: 520-266-3549 |