Porvaznik, Mary Catherine

Porvaznik, Mary Catherine is an individual health care provider with primary practice located at 1501 S Yale St Ste 2 , Flagstaff AZ 86001-7304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Porvaznik, Mary Catherine can be contacted via phone (928) 527-4325.

Contact Information

Primary practice address
1501 S Yale St Ste 2 Flagstaff AZ 86001-7304
Phone: (928) 527-4325
Fax: (928) 527-4327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22035 Arizona

Profile Details

NPI number 1871582635
LBN Legal business name Porvaznik, Mary Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Sep 28th, 2023 - about last year

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 1871582635 NPPES
Colorado MEDICAID 50553771
Colorado MEDICAID Z3755
Colorado MEDICAID 434853

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