MEDICARE: JUSTIN THOMAS SAWYER 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	207N00000X	Dermatology Physician	30230	AZ
2	207NS0135X	Procedural Dermatology Physician	30230	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	Z273078	OTHER	AZ	MEDICARE

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

General Provider Information

NPI Number	:	1962494807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN THOMAS SAWYER MD

Provider Business Mailing Address
First Line	:	6832 E BROWN RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85207-3755
Country	:	US
Telephone Number	:	480-830-8333
Fax Number	:

Provider Business Practice Location Address
First Line	:	6832 E BROWN RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85207-3755
Country	:	US
Telephone Number	:	480-830-8333
Fax Number	:	480-830-8390

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	09/23/2025

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Directions to “ JUSTIN THOMAS SAWYER MD” Practice Location

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