Individual
DR. MARISA M JUNTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
2330 INWOOD ROAD, DALLAS, TX 75390-2200
(214) 648-0921
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
A117810
CA
207ZC0006X
Clinical Pathology Physician
T3488
TX
207ZP0101X
Anatomic Pathology Physician
Primary
T3488
TX
Other
Enumeration date
06/10/2009
Last updated
07/22/2022
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