person
John D Marin, DPM
Foot & Ankle Surgery Podiatrist in Prescott Valley, Arizona
NPI 1437250701

John D Marin is a Foot & Ankle Surgery Podiatrist based in Prescott Valley, AZ and is specialized in Foot & Ankle Surgery. John D Marin practices in Prescott Valley, AZ and has the professional credentials of DPM. The NPI Number for John D Marin is 1437250701 and holds a License No. DPM443 (Arizona).

The current practice location address for John D Marin is 7156 E Grass Land Dr, Prescott Valley, AZ and can be reached out via phone at 928-772-7450 and via fax at 928-772-7450.

Location: 7156 E Grass Land Dr, Prescott Valley, AZ, 86312-6790
person
Provider Profile Details
NPI Number
1437250701
Provider Name
John D Marin
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
7156 E Grass Land Dr, Prescott Valley, AZ, 86312-6790
Phone Number
928-772-7450
Fax Number
928-772-7450
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
333899 05 AZ
AZ0191930 01 BCBSAZ
860820843 01 AZ TAX ID FOR COMMERCIAL
institution
Provider Business Practice Location Address Details
Address
7156 E Grass Land Dr
City
State
Zip
86314-1940
Phone Number
928-772-7450
Fax Number
928-772-7450
person
Provider Business Mailing Address Details
Address
7156 E Grass Land Dr
City
State
Zip
86314-1940
Phone Number
928-772-7450
Fax Number
928-772-7450
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DPM443 (Arizona)
Definition
Definition to come...
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