Individual
DR. MARIE S THEARLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4212 N 16TH ST, 5TH FLOOR, PHOENIX, AZ 85016-5319
(602) 200-5304
Mailing address
2327 E CAROL AVE, PHOENIX, AZ 85028-4614
(917) 533-7396
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
226639
NY
Other
Enumeration date
05/31/2007
Last updated
07/18/2011
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