Individual
DR. MARCO VALERIO CANULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14044 W CAMELBACK RD STE 118, LITCHFIELD PARK, AZ 85340-9481
(623) 584-4882
(623) 584-6732
Mailing address
PO BOX 21647, TAMPA, FL 33622-1647
(405) 696-0030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
24230
AZ
208600000X
Surgery Physician
Primary
38460
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348583
—
AZ
Enumeration date
12/12/2005
Last updated
08/31/2021
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