Ciezki, Richard Mark

Ciezki, Richard Mark is an individual health care provider with primary practice located at 350 N Wilmot Rd , Tucson AZ 85711-2602. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Ciezki, Richard Mark can be contacted via phone (702) 562-5831.

Contact Information

Primary practice address
350 N Wilmot Rd Tucson AZ 85711-2602
Phone: (702) 562-5831
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X LL2740 Nevada
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 63467 Arizona

Profile Details

NPI number 1669834537
LBN Legal business name Ciezki, Richard Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Jan 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669834537 NPPES
Nevada Other LL2740 NEVADA STATE BOARD OF MEDICAL EXAMINERS

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