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Individual

VINCENZO DE MARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 262-8900
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 262-8900

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49664
AZ
207L00000X
Anesthesiology Physician
A67540
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A675400
CA
Enumeration date
06/06/2006
Last updated
09/26/2018
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