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Organization
MARCUS CLINIC LLC
Active
Organization
MARCUS CLINIC LLC
Active
Other names
IV Vitamin Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LOVEJOY TULUSAN ARRIESGADO FNP-C, PMHNP-BC (NURSE PRACTITIONER)
(602) 888-2677
Entity
Organization
Contact information
Practice address
1940 E THUNDERBIRD RD STE 103A, PHOENIX, AZ 85022-5760
(602) 888-2677
Mailing address
1940 E THUNDERBIRD RD STE 103A, PHOENIX, AZ 85022-5760
(602) 888-2677
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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