Individual
MARTINE MARIE HANNALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13991 W GRAND AVE, SUITE 105, SURPRISE, AZ 85374-3065
(623) 455-7800
(623) 455-7840
Mailing address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(623) 277-1000
(623) 866-6293
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29532
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596728
—
AZ
Enumeration date
11/01/2006
Last updated
01/29/2014
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