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Individual

DR. MARSHALL D. LUSTGARTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 546-1207
(602) 546-1264
Mailing address
1919 E THOMAS RD, STE. A-1245, PHOENIX, AZ 85016-7710
(602) 546-1207
(602) 546-1264

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
6344
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
06344
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000Y6439
NM
05
256281
AZ
Enumeration date
11/02/2005
Last updated
09/11/2025
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