Healthcare Provider Details

I. General information

NPI: 1437376159
Provider Name (Legal Business Name): FRANCO CASTRO-MARIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 12/28/2021
Certification Date: 12/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E OSBORN RD
SCOTTSDALE AZ
85251-6432
US

IV. Provider business mailing address

PO BOX 2808
SCOTTSDALE AZ
85252-2808
US

V. Phone/Fax

Practice location:
  • Phone: 480-882-4809
  • Fax:
Mailing address:
  • Phone: 480-882-4809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number44843
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number36910
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: