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Individual

MR. MARK DAVID FINKELSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRT

Contact information

Practice address
3615 N 16TH ST, SUITE 21, PHOENIX, AZ 85016-6437
(602) 274-1581
(602) 266-6542
Mailing address
3615 N 16TH ST, SUITE 21, PHOENIX, AZ 85016-6437
(602) 274-1581
(602) 266-6542

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
00199
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
449646
AHCCCS
AZ
Enumeration date
02/08/2011
Last updated
02/08/2011
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