Individual
MARK TODD MARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4765
(602) 744-4799
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4765
(602) 744-4799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30459
AZ
207L00000X
Anesthesiology Physician
E-15591
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870809
—
AZ
01
—
P00210664
MEDICARE RAILROAD
—
Enumeration date
01/30/2006
Last updated
09/19/2022
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