Individual
MAREK Z PIATEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 WILLOW CREEK RD STE 2200, PRESCOTT, AZ 86301-1614
(928) 445-6025
(928) 778-3026
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41175
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092621
—
AZ
05
—
34851526
—
NM
01
—
41175
MEDICAL LICENSE
AZ
Enumeration date
06/08/2005
Last updated
03/24/2025
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