IndividualActive
Marc Gottlieb, M.D.
NPI 1275521635 · Plastic and Reconstructive Surgery Physician · Phoenix, AZ
Provider details
- NPI number
- 1275521635
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 20039 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1012 E Willetta Street
Phoenix, AZ 85006
Phone: (602) 839-6040
Fax: (602) 839-4375
Approximate (ZIP-level) locationGet directions
Mailing address
1012 E Willetta Street
Phoenix, AZ 85006
Registry dates
- Enumerated
- 2005-10-10
- Last updated
- 2016-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.