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Individual

DR. MARK R ENGELMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4400 N 32ND ST, STE #150, PHOENIX, AZ 85018-3953
(602) 466-3226
(602) 368-5751
Mailing address
4400 N 32ND ST, STE #150, PHOENIX, AZ 85018-3953
(602) 466-3226
(602) 368-5751

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
8273
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8273
AZ
Enumeration date
04/23/2012
Last updated
12/31/2013
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