Liwanag, Mark
Liwanag, Mark is an individual health care provider with primary practice located at 2000 S Thompson St , Flagstaff AZ 86001-8759. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Liwanag, Mark can be contacted via phone (928) 226-6400.Contact Information
Primary practice address
2000 S Thompson St
Flagstaff AZ 86001-8759
Phone: (928) 226-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101021270 | Michigan |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 009640 | Arizona |
Profile Details
| NPI number | 1932514858 |
|---|---|
| LBN Legal business name | Liwanag, Mark |
| Credentials | DO, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2014 |
| Last updated | Oct 3rd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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