Individual
MARNA RACENE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14301 N 87TH ST STE 102, SCOTTSDALE, AZ 85260-3687
(480) 351-8188
(480) 351-8187
Mailing address
14301 N 87TH ST STE 102, SCOTTSDALE, AZ 85260-3687
(480) 351-8188
(480) 351-8187
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.121054
IL
207L00000X
Anesthesiology Physician
Primary
43522
AZ
207L00000X
Anesthesiology Physician
DR.0052234
CO
208600000X
Surgery Physician
MD423192
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012788070001
—
PA
05
—
1012788070002
—
PA
05
—
1012788070003
—
PA
01
—
1743605
PERSONAL CHOICE
PA
01
—
2409329000
KEYSTONE IBC
PA
05
—
541644
—
AZ
01
—
P00305449
RAILROAD MEDICARE
PA
Enumeration date
08/18/2006
Last updated
04/13/2016
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