MEDICARE: MARJORIE COLEMAN

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
1	171W00000X	Contractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ADBH20009	OTHER	AZ	ADHS

General Provider Information

NPI Number	:	1336266485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE COLEMAN

Provider Business Mailing Address
First Line	:	PO BOX 86537
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85754-6537
Country	:	US
Telephone Number	:	520-721-1887
Fax Number	:	520-407-5398

Provider Business Practice Location Address
First Line	:	12128 E BECKER DR
Second Line	:
City	:	VAIL
State	:	AZ
Zip	:	85641-6880
Country	:	US
Telephone Number	:	520-236-9023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	12/05/2025

Similar Medicare Providers

1982697728 — RINCON VALLEY FIRE DISTRICT
Practice Location Address:

14550 E SANDS RANCH RD
VAIL, AZ
85641-8862

Practice Phone: 520-647-3760
Practice Fax: 520-647-7102

1225024573 — SYED T AZAM MD
Practice Location Address:

13180 E COLOSSAL CAVE RD , SUITE 150
VAIL, AZ
85641-9794

Practice Phone: 520-762-1557
Practice Fax: 520-762-8019

1770572604 — SUSAN S DUCKLOW PT
Practice Location Address:

13370 E MARY ANN CLEVELAND WAY STE 130
VAIL, AZ
85641-8611

Practice Phone: 520-689-7144
Practice Fax:

1457321192 — DR. WILLIAM WALKER M.D.
Practice Location Address:

14336 E MANHEAD LOOKOUT DR
VAIL, AZ
85641-2550

Practice Phone: 520-975-7083
Practice Fax:

1134228026 — MS. JANET ANTONESE CARULLI M.A. CCC/SLP
Practice Location Address:

9348 E SYCAMORE SPRINGS TRL
VAIL, AZ
85641-6516

Practice Phone: 520-404-9463
Practice Fax:

1851492094 — WINNIE SO
Practice Location Address:

1037 S SELDON PL
VAIL, AZ
85641-6726

Practice Phone: 520-609-5128
Practice Fax:

Directions to “ MARJORIE COLEMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.