Search › Arizona › 171100000X
Derek Marrongelle, DACM, L.AC., CCN
NPI 1417581539 · on the registry since 2020
Practice
- Address
- 16421 N Tatum Blvd Ste 210
Phoenix, AZ 85032 - Phone
- (570) 617-9005
- Organisation at this address
- Energized Fitness, Llc
Baseline Psychiatry Plc
Platinum Psychiatry Llc
Soliz Healthcare Solutions
Goldring Dental & Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 113 Pine Creek Dr, Orwigsburg, PA
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 133N00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona