Organization
ROGER J. HUCEK, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORMA LORENZANA (OFFICE MANAGER)
(602) 547-1623
Entity
Organization
Contact information
Practice address
5620 W THUNDERBIRD RD, SUITE E-1, GLENDALE, AZ 85306-4636
(602) 547-1623
(602) 547-1767
Mailing address
5620 W THUNDERBIRD RD, SUITE E-1, GLENDALE, AZ 85306-4636
(602) 547-1623
(602) 547-1767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19766
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044967
—
AZ
Enumeration date
02/11/2008
Last updated
08/12/2022
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