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NPI Code Detail

MEDICARE: MARCIA MARIE BLOCK

MEDICARE: MARCIA MARIE BLOCK
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
1156F00000XTechnician/Technologist

General Provider Information

NPI Number : 1669100244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA MARIE BLOCK
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 8770 N THORNYDALE RD STE 170
Second Line :
City : TUCSON
State : AZ
Zip : 85742-9167
Country : US
Telephone Number : 520-230-3178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2022
Last Update Date : 08/15/2022

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Directions to “ MARCIA MARIE BLOCK ” Practice Location

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