# LOUIS J PROCHNICKI, M.D. , P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467775957
- **Authorized official:** DR. LOUIS J PROCHNICKI M.D. (PRESIDENT/CEO)
- **Authorized official phone:** (480) 632-7707

## Contact information

- **Practice address:** 1121 S GILBERT RD, 102, MESA, AZ 85204-5235
- **Practice address phone:** (480) 632-7707
- **Practice address fax:** (480) 926-1600
- **Mailing address:** 1121 S GILBERT RD, 102, MESA, AZ 85204-5235
- **Mailing address phone:** (480) 632-7707
- **Mailing address fax:** (480) 926-1600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 13402 | AZ | Yes |

## Other

- **Enumeration date:** 03/11/2010
- **Last updated:** 03/11/2010