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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194700286 NPPES
Arizona MEDICAID 348583

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