Waslewski, Gary Lee

Waslewski, Gary Lee is an individual health care provider with primary practice located at 8630 E Via De Ventura Ste 201 , Scottsdale AZ 85258-3358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Waslewski, Gary Lee can be contacted via phone (480) 558-3744.

Contact Information

Primary practice address
8630 E Via De Ventura Ste 201 Scottsdale AZ 85258-3358
Fax: (480) 558-3801
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 27254 Arizona

Profile Details

NPI number 1902890031
LBN Legal business name Waslewski, Gary Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2005
Last updated Jul 30th, 2019 - about 5 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 1902890031 NPPES
Arizona MEDICAID 490061
Arizona Other 3Z3983

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