Individual provider · Type 1 NPI

Ivory Morgan Marinakis, PA

Medical Physician Assistant · Prescott, AZ

NPI number 1225657190 Active

Practice location

1003 Willow Creek Rd
Prescott, AZ 86301-1641

Mailing address

PO Box 12033
Prescott, AZ 86304-2033

Other practice locations

  • 435 N 5th St, Phoenix, AZ 85004-2157 · (602) 827-2450

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X8124 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1225657190

Ivory Morgan Marinakis, PA's National Provider Identifier is 1225657190, issued on Apr 10, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Prescott, AZ. The record was last updated on Jan 26, 2021.