Morales, Mark

Morales, Mark is an individual health care provider with primary practice located at 7236 S Central Ave , Phoenix AZ 85042-5425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Morales, Mark can be contacted via phone (602) 276-5565.

Contact Information

Primary practice address
7236 S Central Ave Phoenix AZ 85042-5425
Phone: (602) 276-5565
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14795 Arizona

Profile Details

NPI number 1083684864
LBN Legal business name Morales, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 29th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083684864 NPPES
Arizona MEDICAID 240325

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