Individual
EDUARDO ANTONIO MARRERO VELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 E 15TH ST, DOUGLAS, AZ 85607-1631
(520) 364-5437
(520) 364-4261
Mailing address
1205 F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52572
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171732
—
AZ
Enumeration date
02/28/2013
Last updated
11/17/2016
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