Healthcare Provider Details

I. General information

NPI: 1356261127
Provider Name (Legal Business Name): MARK L TOWNLEY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E STRADA PATANIA
ORO VALLEY AZ
85737-9442
US

IV. Provider business mailing address

10 E STRADA PATANIA
ORO VALLEY AZ
85737-9442
US

V. Phone/Fax

Practice location:
  • Phone: 520-241-6776
  • Fax:
Mailing address:
  • Phone: 520-241-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374K00000X
TaxonomyReligious Nonmedical Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: