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Individual

NATHAN ALLEN DEMARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, MS

Contact information

Practice address
2151 S HIGHWAY 92 STE 106, SIERRA VISTA, AZ 85635-5283
(520) 335-1615
Mailing address
2160 E. FRY BLVD., STE C-5 PMB #642, SIERRA VISTA, AZ 85635
(808) 345-5030

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
1327967
TX
2251X0800X
Orthopedic Physical Therapist
Primary
31148
AZ

Other

Enumeration date
02/17/2020
Last updated
02/17/2020
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