Individual
MARC BAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5861 N ORACLE RD, TUCSON, AZ 85704
(520) 293-6686
(520) 887-1736
Mailing address
5861 N ORACLE RD, TUCSON, AZ 85704
(520) 293-6686
(520) 887-1736
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19378
SC
208000000X
Pediatrics Physician
Primary
67256
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5462
—
SC
01
—
GP9493
MEDICARE
SC
05
—
RHC121
—
SC
01
—
RHC203
RHC
SC
Enumeration date
07/10/2006
Last updated
11/07/2024
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