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Individual

DARYL R MARCELO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
14239 W BELL RD, SUITE 112, SURPRISE, AZ 85374-2469
(623) 876-9983
(623) 876-9984
Mailing address
14239 W BELL RD, SUITE 112, SURPRISE, AZ 85374-2469
(623) 876-9983
(623) 876-9984

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4775
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4775
AZ LICENSE
AZ
Enumeration date
12/18/2007
Last updated
10/21/2014
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