Individual
MARILYN PUPO-GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11333 N SCOTTSDALE RD, SUITE 280, SCOTTSDALE, AZ 85254-5185
(480) 367-1500
(480) 367-1501
Mailing address
11333 N SCOTTSDALE RD, SUITE 280, SCOTTSDALE, AZ 85254-5185
(480) 367-1500
(480) 367-1501
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
32265
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
32265
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
829939
AHCCCS PROVIDER ID
AZ
Enumeration date
11/22/2006
Last updated
04/18/2008
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