Marc E Gottlieb Md Pc

LBN: Marc E Gottlieb Md Pc
Marc E Gottlieb Md Pc is an health care organization with primary practice located at 1012 E Willetta St , Phoenix AZ 85006-2749. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Marc E Gottlieb Md Pc can be contacted via phone (602) 239-6040, or through Gottlieb, Marc E via phone (602) 252-3354.

Contact Information

Primary practice address
1012 E Willetta St Phoenix AZ 85006-2749
Phone: (602) 239-6040
Fax: (602) 252-2367
Website:
Map and Directions
Authorized official contact:
Name: Gottlieb, Marc E Doctor of Medicine (MD)
Phone: (602) 252-3354

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 20039 Arizona

Profile Details

NPI number 1376870501
LBN Legal business name Marc E Gottlieb Md Pc
DBA Doing business as
Authorized official Gottlieb, Marc E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2009
Last updated Nov 9th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376870501 NPPES
Arizona MEDICAID 053025

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