Organization
PHILIP KACZAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE GREENMAN (OFFICE MANAGER)
(602) 252-3967
Entity
Organization
Contact information
Practice address
1300 N 12TH ST, SUITE #516, PHOENIX, AZ 85006-2848
(602) 252-3967
(602) 252-1474
Mailing address
1300 N 12TH ST, SUITE #516, PHOENIX, AZ 85006-2848
(602) 252-3967
(602) 252-1474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26301
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457516
—
AZ
Enumeration date
12/13/2011
Last updated
12/13/2011
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