MEDICARE: NICHOLAS BUJAK MD, PLLC

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1821484171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NICHOLAS BUJAK MD, PLLC

Provider Business Mailing Address
First Line	:	4338 W THOMAS RD STE 173
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85031-3878
Country	:	US
Telephone Number	:	602-429-2239
Fax Number	:

Provider Business Practice Location Address
First Line	:	4338 W THOMAS RD STE 173
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85031-3878
Country	:	US
Telephone Number	:	602-429-2239
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. HELEN BUJAK
Credential	:
Telephone Number	:	623-341-2825

Provider Enumeration Date	:	04/14/2015
Last Update Date	:	11/20/2024

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