Individual
MARCY L. CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
5155 E. EAGLE DRIVE #20733, MESA, AZ 85277-3031
(480) 706-9430
(480) 378-2273
Mailing address
5155 E. EAGLE DRIVE #20730, MESA, AZ 85277-3031
(480) 706-9430
(480) 378-2273
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
RN071749
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
878845
—
AZ
01
—
AW2076
HEALTHNET OF AZ
AZ
01
—
AZ0280730
BCBS AZ
AZ
Enumeration date
04/12/2006
Last updated
01/27/2017
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