Provider Demographics
NPI:1912193053
Name:MARQUEZ, PATRICIA CARLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:CARLEN
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 E BASELINE RD
Mailing Address - Street 2:J-1
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-1284
Mailing Address - Country:US
Mailing Address - Phone:480-264-6181
Mailing Address - Fax:480-264-7152
Practice Address - Street 1:227 E BASELINE RD
Practice Address - Street 2:J-1
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1284
Practice Address - Country:US
Practice Address - Phone:480-264-6181
Practice Address - Fax:480-264-7152
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor