Individual
MR. ANTHONY MARCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9640 N AMERICAN RANCH RD, PRESCOTT, AZ 86305-9042
(928) 821-2957
Mailing address
9640 N AMERICAN RANCH RD, PRESCOTT, AZ 86305-9042
(928) 821-2957
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8717284
AZ
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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