Provider Demographics
NPI:1881754687
Name:PERRON, MARCUS R (DC)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:R
Last Name:PERRON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14700 N FRANK LLOYD WRIGHT BLVD
Mailing Address - Street 2:SUITE 155
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2046
Mailing Address - Country:US
Mailing Address - Phone:480-767-1200
Mailing Address - Fax:480-767-7587
Practice Address - Street 1:10115 E BELL RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2189
Practice Address - Country:US
Practice Address - Phone:480-767-1200
Practice Address - Fax:480-767-7587
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7889111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor