Fietz, Mary Jean

Fietz, Mary Jean is an individual health care provider with primary practice located at 1255 W Washington St , Tempe AZ 85281-1210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Fietz, Mary Jean can be contacted via phone (602) 685-5211.

Contact Information

Primary practice address
1255 W Washington St Tempe AZ 85281-1210
Phone: (602) 685-5211
Fax: (602) 685-5028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 20108 Arizona

Profile Details

NPI number 1154396133
LBN Legal business name Fietz, Mary Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 21st, 2017 - about 7 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 1154396133 NPPES
Arizona Other AZ0182900 BCBSAZ-PATH ASSOC
Arizona Other AZ0828930 BCBSAZ-PATH ASSOC
Arizona Other AX4478 BCBSAZ-PATH ASSOC
Arizona MEDICAID 111287 BCBSAZ-PATH ASSOC
Arizona Other 1Z7112 BCBSAZ-PATH ASSOC

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