Provider Demographics
NPI:1063430114
Name:MARKS, VALERIE (DO)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:MARKS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:
Other - Last Name:ROMANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14416 W MEEKER BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5284
Mailing Address - Country:US
Mailing Address - Phone:623-583-5100
Mailing Address - Fax:623-583-5816
Practice Address - Street 1:14416 W MEEKER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5284
Practice Address - Country:US
Practice Address - Phone:623-583-5100
Practice Address - Fax:623-583-5816
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4395207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ4395OtherBOARD OF OSTEOPATHIC EXAM