Provider Demographics
NPI:1902929318
Name:EPSTEIN, MARC IRWIN (DO)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:IRWIN
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2375 N WYATT DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2152
Mailing Address - Country:US
Mailing Address - Phone:520-881-8161
Mailing Address - Fax:520-881-8163
Practice Address - Street 1:2375 N WYATT DR
Practice Address - Street 2:SUITE 109
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2152
Practice Address - Country:US
Practice Address - Phone:520-881-8161
Practice Address - Fax:520-881-8163
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ2881207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZG05456Medicare UPIN