Mazur, Marek J

Mazur, Marek J is an individual health care provider with primary practice located at 5779 E Mayo Blvd , Phoenix AZ 85054-4502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Mazur, Marek J can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
5779 E Mayo Blvd Phoenix AZ 85054-4502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 30610 Arizona
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 30610 Arizona

Profile Details

NPI number 1295712172
LBN Legal business name Mazur, Marek J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Oct 30th, 2007 - about 17 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 1295712172 NPPES
Arizona MEDICAID 708935
Arizona Other 86080015085259A812

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