Healthcare Provider Details

I. General information

NPI: 1023046018
Provider Name (Legal Business Name): EWA SZAFRANIEC, M.D., PH.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 08/22/2020
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 Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EWA SZAFRANIEC
Title or Position: OWNER
Credential: M.D., PH.D
Phone: 602-298-2708