Organization
BOTERO MARQUEZ PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO F TARQUINO MD (MANAGER)
(602) 234-1803
Entity
Organization
Contact information
Practice address
300 W CLARENDON AVE STE 142, PHOENIX, AZ 85013-3449
(602) 234-1803
(602) 234-3748
Mailing address
PO BOX 36680, PHOENIX, AZ 85067-6680
(602) 234-1991
(602) 234-3748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42734
AZ
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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