Healthcare Provider Details

I. General information

NPI: 1720297252
Provider Name (Legal Business Name): MARTHA MARIE FINCH MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9512 E DESERT COVE AVE
SCOTTSDALE AZ
85260-6163
US

IV. Provider business mailing address

9512 E DESERT COVE AVE
SCOTTSDALE AZ
85260-6163
US

V. Phone/Fax

Practice location:
  • Phone: 602-291-3567
  • Fax:
Mailing address:
  • Phone: 602-291-3567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: