Individual
DR. MARCIA MASTRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2040 W BETHANY HOME RD, STE 102, PHOENIX, AZ 85015-2473
(602) 368-8800
(602) 368-8801
Mailing address
2040 W BETHANY HOME RD, STE 102, PHOENIX, AZ 85015-2473
(602) 236-8800
(602) 368-8801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31029
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
927270
—
AZ
01
—
AZ0770960
BCBS
AZ
Enumeration date
08/30/2006
Last updated
03/30/2012
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