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NPI Code Detail

MEDICARE: DANA PIZAREK PA-C

MEDICARE:   DANA  PIZAREK  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant9479AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255003984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA PIZAREK PA-C
Provider Business Mailing Address
First Line : 2487 S GILBERT RD STE 106-486
Second Line :
City : GILBERT
State : AZ
Zip : 85295-8899
Country : US
Telephone Number : 480-699-5536
Fax Number : 480-699-9283
Provider Business Practice Location Address
First Line : 2100 E YEAGER DR
Second Line :
City : CHANDLER
State : AZ
Zip : 85286-1598
Country : US
Telephone Number : 480-699-5536
Fax Number : 480-699-9283
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2021
Last Update Date : 03/09/2026

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Directions to “ DANA PIZAREK PA-C” Practice Location

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