Provider Demographics
NPI:1922260579
Name:MARQUEZ, ALLISON A (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:A
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7620 E MCKELLIPS RD STE 4-225
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-4600
Mailing Address - Country:US
Mailing Address - Phone:888-495-4489
Mailing Address - Fax:480-865-8090
Practice Address - Street 1:7620 E MCKELLIPS RD STE 4-225
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-4600
Practice Address - Country:US
Practice Address - Phone:888-495-4489
Practice Address - Fax:480-865-8090
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2030213ES0103X
AZ0830213ES0103X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ100749Medicaid