Individual
MARK VIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
839 W CONGRESS ST, TUCSON, AZ 85745
(520) 670-3909
(520) 670-3840
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 792-9890
(520) 884-9287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26865
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
798803
—
AZ
Enumeration date
02/28/2006
Last updated
09/02/2010
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