Provider Demographics
NPI:1467484881
Name:FRANCIS, PAUL MARLON (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:MARLON
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8412 E SHEA BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:480-614-2500
Mailing Address - Fax:480-614-8420
Practice Address - Street 1:8412 E SHEA BLVD
Practice Address - Street 2:STE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-614-2500
Practice Address - Fax:480-614-8420
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19974207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ175936Medicaid
78488Medicare ID - Type Unspecified
AZ175936Medicaid