Individual
MARK C SIVAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15351 W BELL RD, SURPRISE, AZ 85374-4580
(877) 809-5092
(623) 815-9253
Mailing address
9520 W PALM LN, SUITE 200, PHOENIX, AZ 85037-4403
(877) 809-5092
(623) 815-9253
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34095
AZ
Other
Enumeration date
06/09/2005
Last updated
04/08/2013
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