MEDICARE: CLAIRE MARASIGAN 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
1	363A00000X	Physician Assistant
2	363A00000X	Physician Assistant	9433	AZ

General Provider Information

NPI Number	:	1952027799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIRE MARASIGAN PA-C

Provider Business Mailing Address
First Line	:	5669 W MANZANITA DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4668
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7952 N 43RD AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85301-1662
Country	:	US
Telephone Number	:	623-465-6330
Fax Number	:

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

Provider Enumeration Date	:	10/13/2022
Last Update Date	:	04/06/2024

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Directions to “ CLAIRE MARASIGAN PA-C” Practice Location

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