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NPI Code Detail

MEDICARE: JOEL D PAVELONIS MD PC

MEDICARE: JOEL D PAVELONIS MD PC
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
1207L00000XAnesthesiology Physician30233AZ

General Provider Information

NPI Number : 1215124284
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOEL D PAVELONIS MD PC
Provider Business Mailing Address
First Line : 1500 S DOBSON RD
Second Line : STE 203
City : MESA
State : AZ
Zip : 85202-4724
Country : US
Telephone Number : 480-844-7100
Fax Number : 480-512-5486
Provider Business Practice Location Address
First Line : 1500 S DOBSON RD
Second Line : STE 203
City : MESA
State : AZ
Zip : 85202-4724
Country : US
Telephone Number : 480-844-7100
Fax Number : 480-512-5486
Authorized Official
Title or Position : SECRETARY
Name : MRS. STACEY MARGARET SPINKS
Credential :
Telephone Number : 480-844-7100
Provider Enumeration Date : 10/03/2007
Last Update Date : 03/12/2008

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Directions to “JOEL D PAVELONIS MD PC ” Practice Location

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