Healthcare Provider Details

I. General information

NPI: 1720179971
Provider Name (Legal Business Name): MICHAEL JOSEPH MARICIC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7520 N ORACLE RD SUITE 100 CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALIST, PC
TUCSON AZ
85704
US

IV. Provider business mailing address

7520 N ORACLE RD SUITE 100 CATALINA POINTE ARTHRITIS & RHEUMATOLOGY SPECIALIST, PC
TUCSON AZ
85704
US

V. Phone/Fax

Practice location:
  • Phone: 520-408-1133
  • Fax: 520-408-2233
Mailing address:
  • Phone: 520-408-1133
  • Fax: 520-408-2233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberAZ13959
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: