Individual
DR. JOEL DANIEL MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
BMDA - BANNER UNIVERSITY MEDICAL CENTER, 925 E. MCDOWELL RD, PHOENIX, AZ 85006
(602) 521-3700
(216) 538-6271
Mailing address
BMDA - BANNER UNIVERSITY MEDICAL CENTER, 925 E. MCDOWELL RD, PHOENIX, AZ 85006
(602) 521-3700
(702) 944-1185
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1180
LA
103T00000X
Psychologist
32143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06908019
—
MS
05
—
162880203
—
TX
01
—
162880204
CSHCN
TX
05
—
2175700
—
LA
Enumeration date
12/15/2005
Last updated
10/15/2019
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