Healthcare Provider Details

I. General information

NPI: 1477484293
Provider Name (Legal Business Name): MARIJA DUNN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9300 E RAINTREE DR STE 130
SCOTTSDALE AZ
85260-7313
US

IV. Provider business mailing address

8555 E RAINTREE DR UNIT 401
SCOTTSDALE AZ
85260-0049
US

V. Phone/Fax

Practice location:
  • Phone: 602-739-6000
  • Fax:
Mailing address:
  • Phone: 602-739-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberCLT-73258
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: