Individual
JOHN D MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7156 E GRASS LAND DR, PRESCOTT VALLEY, AZ 86314-1940
(928) 772-7450
(928) 772-7450
Mailing address
PO BOX 26790, PRESCOTT VALLEY, AZ 86312-6790
(928) 772-7450
(928) 772-7450
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM443
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333899
—
AZ
01
—
860820843
TAX ID FOR COMMERCIAL
AZ
01
—
AZ0191930
BCBSAZ
—
Enumeration date
09/26/2006
Last updated
02/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us