Search › Arizona › 163WH0200X
Marc Completo
NPI 1629586912 · on the registry since 2018
Practice
- Address
- 5217 W Spur Dr
Phoenix, AZ 85083 - Phone
- (210) 577-9239
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Also registered as
- 163WC0400X
163WI0500X
163WW0000X
163WX1500X - Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona