Canulla, Marco Valerio
Canulla, Marco Valerio is an individual health care provider with primary practice located at 14044 W Camelback Rd Ste 118 , Litchfield Park AZ 85340-9481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Canulla, Marco Valerio can be contacted via phone (623) 584-4882.Contact Information
Primary practice address
14044 W Camelback Rd Ste 118
Litchfield Park AZ 85340-9481
Phone: (623) 584-4882
Fax: (623) 584-6732
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 38460 | Oklahoma |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 24230 | Arizona |
Profile Details
NPI number | 1194700286 |
---|---|
LBN Legal business name | Canulla, Marco Valerio |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2005 |
Last updated | Aug 31st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194700286 | NPPES |
Arizona | MEDICAID | 348583 |
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