ALPINE COUNTRY UROLOGIC ASSOCIATES PC
Urology at Frontier St, Payson, AZ

License number
Arizona 28174
Category
Radiology
Type
Urology
Owner
Name: DR. MICHAEL A MARMER MD
Title: PRESIDENT
Phone: (928) 468-0018
Address
Address
111 E Frontier St, Payson, AZ 85541
National Provider ID: 1598950313
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALPINE COUNTRY UROLOGIC ASSOCIATES, PC

600 N Doubletree Dr, Payson, AZ 85541

Registration:
May 18, 2005
State ID:
-1203220-8
Expiration:
PERPETUAL
President:
Michael Marmer (President), 600 N Doubletree Cir, Payson, AZ 85541 (Physical)
Agent:
Richard C Smith,1 E Washington St STE 1900, Phoenix, AZ 85004 (Physical)
Business type:
HEALTH CARE

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