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NPI Code Detail

MEDICARE: MR. JEFFREY DAVID MARQUIS M.A., M.ED

MEDICARE: MR. JEFFREY DAVID MARQUIS M.A., M.ED
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
1103TS0200XSchool Psychologist3258963AZ

General Provider Information

NPI Number : 1740436484
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY DAVID MARQUIS M.A., M.ED
Provider Business Mailing Address
First Line : 16772 W WINDERMERE WAY
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-6808
Country : US
Telephone Number : 623-876-7541
Fax Number :
Provider Business Practice Location Address
First Line : 15802 N PARKVIEW PL
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-7466
Country : US
Telephone Number : 623-876-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2008
Last Update Date : 03/30/2026

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