Organization
MARWAN GHAZOUL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARWAN GHAZOUL MD (OWNER)
(602) 708-9276
Entity
Organization
Contact information
Practice address
4240 E MARLETTE AVE, PARADISE VALLEY, AZ 85253-3960
(602) 708-9276
Mailing address
4240 E MARLETTE AVE, PARADISE VALLEY, AZ 85253-3960
(602) 708-9276
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
18744
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558362491
INDIVIDUAL NPI
AZ
Enumeration date
07/11/2016
Last updated
07/11/2016
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