Individual
MARJORIE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12128 E BECKER DR, VAIL, AZ 85641-6880
(520) 236-9023
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 407-5398
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADBH20009
ADHS
AZ
Enumeration date
03/23/2007
Last updated
12/05/2025
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