Individual
MARINA PERMIAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14416 W MEEKER BLVD BLDG C, STE 200, SUN CITY WEST, AZ 85375-5284
(623) 583-5271
Mailing address
14416 W MEEKER BLVD BLDG C, STE 200, SUN CITY WEST, AZ 85375-5284
(623) 583-5271
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
BP10042480
TX
Other
Enumeration date
03/13/2013
Last updated
02/04/2016
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