Marco Valerio Canulla (NPI# 1194700286, PAC ID# 9335038355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1194700286 |
| PAC ID by PECOS | 9335038355 |
| Professional Enrollment ID | I20040315001017 |
| Full Name | Marco Valerio Canulla |
| Address |
7330 N 99th Ave Suite 200b Glendale AZ 85307-3003 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030024 | ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7330 N 99th Ave, Suite 200b, Glendale, AZ 85307-3003 |
| Street Address |
7330 N 99TH AVE SUITE 200B |
| City | GLENDALE |
| State | AZ |
| Zip | 85307-3003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon A King | General Surgery | Arizona Associated Surgeons Pllc | 7330 N 99th Ave, Suite 205, Glendale, AZ 85307-3003 |
| Ryan A Pinnell | General Surgery | Integrated Medical Services Inc | 7330 N 99th Ave, Suite 205, Glendale, AZ 85307-3003 |
| Keng-yu Chuang | Gastroenterology | Sjhmc Physician Services C/o Dignity Health | 7330 N 99th Ave, Suite 200a, Glendale, AZ 85307-3003 |
| Casondra Rae Moore | Internal Medicine | Integrated Medical Services Inc | 7330 N 99th Ave, Suite 205, Glendale, AZ 85307-3003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy S Davie | Emergency Medicine | Empower Emergency Physicians, PC | 7300 N 99th Ave, Glendale, AZ 85307-3003 |
| Richard Eugene Saunders | Emergency Medicine | Empower Emergency Physicians, PC | 7300 N 99th Ave, Glendale, AZ 85307-3003 |
| Thomas L Bostwick | Emergency Medicine | Empower Emergency Physicians, PC | 7300 N 99th Ave, Glendale, AZ 85307-3003 |
| City | GLENDALE |
| Zip Code | 85307 |
| Specialty | GENERAL SURGERY |
| City + Specialty | GLENDALE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Marco Valerio Canulla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.