DZIDUCH MEDICAL PLLC NPI 1639710726

NPI Information

  • NPI: 1639710726
  • Provider Name: DZIDUCH MEDICAL, PLLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2680 E GERMANN RD
    CHANDLER, AZ
    ZIP 85286
  • Phone: (480) 712-9100

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NPI Details

DZIDUCH MEDICAL, PLLC is a primary care clinic center in Chandler, AZ. DZIDUCH MEDICAL, PLLC NPI is 1639710726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2680 E GERMANN RD
CHANDLER, AZ
ZIP 85286-423
Phone: (480) 712-9100
Fax: (480) 597-1701

The provider's authorized official is Jessie Dziduch .
The authorized official title is Owner and has the following contact phone number (480) 286-0538.

The enumeration date for this NPI number is 10/1/2019 and was last updated on 4/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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