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NPI Code Detail

MEDICARE: MARCOS ARANCIBIA M.D.

MEDICARE:   MARCOS  ARANCIBIA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician27924TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127924OTHERTNMD LICENSE

General Provider Information

NPI Number : 1790866614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCOS ARANCIBIA M.D.
Provider Business Mailing Address
First Line : 710 HART LN
Second Line :
City : NASHVILLE
State : TN
Zip : 37247-0801
Country : US
Telephone Number : 615-650-7037
Fax Number : 615-262-6139
Provider Business Practice Location Address
First Line : 330 PAGEANT LN
Second Line :
City : CLARKSVILLE
State : TN
Zip : 37040-3854
Country : US
Telephone Number : 931-648-5747
Fax Number : 931-645-9019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 03/07/2023

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1942423512 — CHARLENE BARTHELEMY RN
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1184847774 — MARILYN J. CARROLL RN
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Directions to “ MARCOS ARANCIBIA M.D.” Practice Location

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