Provider Demographics
NPI:1487822516
Name:GUERRERO, MARLON ALEXANDER (MD)
Entity Type:Individual
Prefix:MR
First Name:MARLON
Middle Name:ALEXANDER
Last Name:GUERRERO
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1501 N. CAMBELL AVE PO BOX 245131
Mailing Address - Street 2:SUITE 4325
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724
Mailing Address - Country:US
Mailing Address - Phone:520-626-2635
Mailing Address - Fax:520-626-7785
Practice Address - Street 1:BANNER-UNIVERSITY MEDICAL CENTER TUCSON
Practice Address - Street 2:1501 N. CAMBELL AVE SUITE 4325
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724
Practice Address - Country:US
Practice Address - Phone:520-626-2635
Practice Address - Fax:520-626-7785
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA102936208600000X
AZ41683208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery