Individual
DR. MARY ANN ATIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
45749
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
719963
—
AZ
Enumeration date
09/23/2010
Last updated
02/16/2017
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