Organization
ALPINE COUNTRY UROLOGIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A MARMER MD (PRESIDENT)
(928) 468-0018
Entity
Organization
Contact information
Practice address
111 E FRONTIER ST, PAYSON, AZ 85541-5663
(928) 468-0018
(928) 468-0019
Mailing address
PO BOX 438, PAYSON, AZ 85547-0438
(928) 468-0018
(928) 468-0019
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
28174
AZ
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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