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NPI Code Detail

MEDICARE: MR. MATTHEW JAMES DEMBIK

MEDICARE: MR. MATTHEW JAMES DEMBIK
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
1183500000XPharmacistS025411AZ

General Provider Information

NPI Number : 1649949538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MATTHEW JAMES DEMBIK
Provider Business Mailing Address
First Line : 1775 LAKESIDE DR
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-5732
Country : US
Telephone Number : 928-763-8777
Fax Number : 928-763-1869
Provider Business Practice Location Address
First Line : 1775 LAKESIDE DR
Second Line :
City : BULLHEAD CITY
State : AZ
Zip : 86442-5732
Country : US
Telephone Number : 928-763-8777
Fax Number : 928-763-1869
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2021
Last Update Date : 09/13/2021

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Directions to “ MR. MATTHEW JAMES DEMBIK ” Practice Location

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