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NPI Code Detail

MEDICARE: ANDRZEJ DMOWSKI MD

MEDICARE:   ANDRZEJ  DMOWSKI  MD
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
1207P00000XEmergency Medicine PhysicianME79755FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
149780OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518960996
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRZEJ DMOWSKI MD
Provider Business Mailing Address
First Line : 1300 N 12TH ST
Second Line : SUITE 301
City : PHOENIX
State : AZ
Zip : 85006-2848
Country : US
Telephone Number : 602-239-6968
Fax Number : 602-239-4144
Provider Business Practice Location Address
First Line : 1300 N 12TH ST
Second Line : SUITE 301
City : PHOENIX
State : AZ
Zip : 85006-2848
Country : US
Telephone Number : 602-239-6968
Fax Number : 602-239-4144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 04/18/2008

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Directions to “ ANDRZEJ DMOWSKI MD” Practice Location

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