Healthcare Provider Details

I. General information

NPI: 1598184020
Provider Name (Legal Business Name): JOHN PAUL JARCZYK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2014
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 E ERICKSON DR STE 100
TUCSON AZ
85712-2809
US

IV. Provider business mailing address

4258 N RILLITO CREEK PL
TUCSON AZ
85719-1162
US

V. Phone/Fax

Practice location:
  • Phone: 520-324-7210
  • Fax: 520-324-7201
Mailing address:
  • Phone: 480-220-0641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number52970
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: