Healthcare Provider Details

I. General information

NPI: 1770537904
Provider Name (Legal Business Name): EWA SZAFRANIEC M.D., PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14001 N 7TH ST STE E110
PHOENIX AZ
85022-4382
US

IV. Provider business mailing address

14001 N 7TH ST STE E110
PHOENIX AZ
85022-4382
US

V. Phone/Fax

Practice location:
  • Phone: 602-298-2708
  • Fax: 602-298-2831
Mailing address:
  • Phone: 602-298-2708
  • Fax: 602-298-2831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAZ18803
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: