Individual
MARCUS JOHN DILL-MACKY
Active
Individual
MARCUS JOHN DILL-MACKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
36072
AZ
2085U0001X
Diagnostic Ultrasound Physician
36072
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005472
GROUP MEDICAID ID
AZ
05
—
178062
—
AZ
01
—
1841261989
GROUP NPI
AZ
01
—
1992842603
PHYSICIAN INDIVIDUAL NPI NUMBER
AZ
01
—
CS7943
GROUP MEDICARE RAILROAD ID & PTAN
AZ
01
—
P00406247
MEDICARE RAILROAD
AZ
01
—
ZWCBBM
GROUP MEDICARE ID
AZ
Enumeration date
01/31/2007
Last updated
02/27/2013
Update your record
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