Marissa Jean Haberlach, DO
Emergency Medicine in Tucson, AZ. Individual provider (NPI-1).
NPI number1982195889
StatusActive
Last updated in NPPESSep 10, 2021
Details
- NPI
- 1982195889
- Entity type
- Individual (NPI-1)
- Name
- Marissa Jean Haberlach
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 25, 2018
- Certification date
- Sep 10, 2021
- Last updated
- Sep 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 19073 | CA | Yes |
| 207P00000X | Emergency Medicine | R2955 | AZ |
Practice location
1501 N Campbell AveTucson, AZ 85724-5057
Phone 520-694-0111
Mailing address
Po Box 245057Tucson, AZ 85724-5057
Phone 520-626-7233
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