DZIDUCH MEDICAL PLLC NPI 1639710726

NPI Information

NPI: 1639710726
Provider Name: DZIDUCH MEDICAL, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2680 E GERMANN RD
CHANDLER, AZ
ZIP 85286
Phone: (480) 712-9100
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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
1	207Q00000X	Family Medicine				No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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: 4/28/2024

NPI Synchronization or Removal

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