| Brian D Marks Do Pc | |
|
3301 N Miller Rd Suite 130 Scottsdale AZ 85251-6431 | |
| (480) 985-1093 | |
| Not Available |
| Full Name | Brian D Marks Do Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3301 N Miller Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Brian D Marks (PRESIDENT/OWNER) |
| Authorized Official Contact | 4809851093 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Marks Do Pc Po Box 20490 Mesa AZ 85277-0490 Ph: (480) 985-1093 | Brian D Marks Do Pc 3301 N Miller Rd Suite 130 Scottsdale AZ 85251-6431 Ph: (480) 985-1093 |
| NPI Number | 1548358484 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 10/10/2007 |
| Medicare PECOS PAC ID | 4183859390 |
|---|---|
| Medicare Enrollment ID | O20131024000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548358484 | NPI | - | NPPES |
| F11117 | Other | AZ | PHP AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian D Marks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013982883 PECOS PAC ID: 7517992563 Enrollment ID: I20050928001361 |
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