MEDICARE: DR. G. PAUL DABROWSKI 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
1	208600000X	Surgery Physician	MD062565L	PA
2	208600000X	Surgery Physician	08857R	LA
3	2086S0102X	Surgical Critical Care Physician	MD062565L	PA
4	2086S0127X	Trauma Surgery Physician	MD062565L	PA
5	208600000X	Surgery Physician	40781	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1881665115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. G. PAUL DABROWSKI MD

Provider Business Mailing Address
First Line	:	1441 N 12TH ST FL 1
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2837
Country	:	US
Telephone Number	:	602-521-5968
Fax Number	:	602-521-5988

Provider Business Practice Location Address
First Line	:	1441 N 12TH ST FL 1
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2837
Country	:	US
Telephone Number	:	602-521-5968
Fax Number	:	602-521-5988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	12/14/2017

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