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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295712172 | NPPES |
Arizona | MEDICAID | 708935 | |
Arizona | Other | 86080015085259A812 |
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