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NPI Code Detail

MEDICARE: MARTA REBECCAH LIANG PA-C

MEDICARE:   MARTA REBECCAH LIANG  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant6264AZ
2363AM0700XMedical Physician Assistant6264AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003288804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTA REBECCAH LIANG PA-C
Provider Business Mailing Address
First Line : PO BOX 6730
Second Line :
City : CHANDLER
State : AZ
Zip : 85246-6730
Country : US
Telephone Number : 480-821-3600
Fax Number : 480-857-2667
Provider Business Practice Location Address
First Line : 37100 N GANTZEL RD STE 106
Second Line :
City : SAN TAN VALLEY
State : AZ
Zip : 85140-7350
Country : US
Telephone Number : 480-821-3600
Fax Number : 480-857-2667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2015
Last Update Date : 05/30/2024

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Directions to “ MARTA REBECCAH LIANG PA-C” Practice Location

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