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NPI Code Detail

MEDICARE: MARIETTA LIM UY MD

MEDICARE: MARIETTA LIM UY MD
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
1207R00000XInternal Medicine Physician24339AZ

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 : 1891781290
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIETTA LIM UY MD
Provider Business Mailing Address
First Line : 3115 S PRICE RD
Second Line : #23-117
City : CHANDLER
State : AZ
Zip : 85248-3544
Country : US
Telephone Number : 888-488-7640
Fax Number :
Provider Business Practice Location Address
First Line : 7400 E OSBORN RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-6432
Country : US
Telephone Number : 602-225-6262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 05/03/2016

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Directions to “ MARIETTA LIM UY MD” Practice Location

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