Individual
MARY C MASELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1920 E BASELINE RD, TEMPE, AZ 85283-1511
(480) 968-7835
Mailing address
1920 E BASELINE RD, TEMPE, AZ 85283-1511
(480) 968-7835
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0375
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172164
—
AZ
Enumeration date
01/23/2006
Last updated
07/08/2007
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