Healthcare Provider Details

I. General information

NPI: 1497624662
Provider Name (Legal Business Name): AVA LEE GALBIERCZYK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14674 W MOUNTAIN VIEW BLVD STE 210
SURPRISE AZ
85374-2708
US

IV. Provider business mailing address

14674 W MOUNTAIN VIEW BLVD STE 210
SURPRISE AZ
85374-2708
US

V. Phone/Fax

Practice location:
  • Phone: 623-546-1400
  • Fax: 623-546-0745
Mailing address:
  • Phone: 623-546-1400
  • Fax: 623-546-0745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: