Individual
SERIGN MASS A MARONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6130 N LA CHOLLA BLVD, TUCSON, AZ 85741-3557
(520) 742-4159
(520) 742-3493
Mailing address
5055 E BROADWAY BLVD STE A100, TUCSON, AZ 85711-3629
(520) 327-0460
(520) 795-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54601
AZ
207Q00000X
Family Medicine Physician
ML60155828
WA
Other
Enumeration date
08/09/2010
Last updated
11/06/2023
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