Individual
JOHN P. PRIMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
934 W HATCHER RD, PHOENIX, AZ 85021-3139
(602) 344-6300
(602) 344-6301
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1377
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335671
—
AZ
Enumeration date
07/13/2006
Last updated
09/15/2011
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