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NPI Code Detail

MEDICARE: 4 PILLARS MEDICINE PLLC

MEDICARE: 4 PILLARS MEDICINE PLLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1013866995
Entity Type Code : Organization
Provider Name (Legal Business Name) : 4 PILLARS MEDICINE PLLC
Provider Business Mailing Address
First Line : 6421 E PASEO OTONO
Second Line :
City : TUCSON
State : AZ
Zip : 85750-1208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4960 N SABINO CANYON RD STE 110
Second Line :
City : TUCSON
State : AZ
Zip : 85750-6440
Country : US
Telephone Number : 623-703-8983
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICIAN
Name : DR. JAMES DAVID MIKOLAJCZAK
Credential : DO
Telephone Number : 623-703-8983
Provider Enumeration Date : 01/24/2026
Last Update Date : 01/24/2026

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Directions to “4 PILLARS MEDICINE PLLC ” Practice Location

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