Individual
MR. STEVEN JEFFREY MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
21006543
AZ
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563892
—
AZ
Enumeration date
07/07/2006
Last updated
05/27/2017
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