Marshall, Verlan Tracy

Marshall, Verlan Tracy is an sole proprietor health care provider with primary practice located at 6707 N 19Th Ave Ste 103 , Phoenix AZ 85015-1105. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Marshall, Verlan Tracy can be contacted via phone (602) 274-4100.

Contact Information

Primary practice address
6707 N 19Th Ave Ste 103 Phoenix AZ 85015-1105
Phone: (602) 274-4100
Fax: (602) 246-1565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0532 Arizona

Profile Details

NPI number 1780770180
LBN Legal business name Marshall, Verlan Tracy
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Aug 19th, 2014 - about 10 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 1780770180 NPPES
Arizona MEDICAID 754110

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