Individual
MARCUS ERNEST KONYI KOMETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 E VAN BUREN ST, PHOENIX, AZ 85008-6037
(602) 685-3100
Mailing address
6811 W PLEASANT LN, LAVEEN, AZ 85339-2660
(480) 252-3484
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
286453
AZ
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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