Provider Demographics
NPI:1982887287
Name:JULIO A MARCOLINI MD PLLC
Entity Type:Organization
Organization Name:JULIO A MARCOLINI MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARCOLINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-202-3337
Mailing Address - Street 1:PO BOX 1369
Mailing Address - Street 2:
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85372-1369
Mailing Address - Country:US
Mailing Address - Phone:602-202-3337
Mailing Address - Fax:
Practice Address - Street 1:14420 W MEEKER BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5288
Practice Address - Country:US
Practice Address - Phone:623-512-2028
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31439207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ119143Medicare PIN