Individual
JOSEPH S JANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5310 W THUNDERBIRD RD, SUITE 110, GLENDALE, AZ 85306-4706
(602) 865-4065
(602) 865-6100
Mailing address
5310 W THUNDERBIRD RD, SUITE 110, GLENDALE, AZ 85306-4706
(602) 865-4065
(602) 865-6100
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
23753
CO
2086S0120X
Pediatric Surgery Physician
Primary
32078
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
539801
—
AZ
01
—
AZ0738820
BCBS
AZ
Enumeration date
08/17/2005
Last updated
02/04/2014
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