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Individual

JAMIE JOSEPH POZNIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1675 E MELROSE ST STE 101-103, GILBERT, AZ 85297-1001
(480) 964-2908
(480) 833-2136
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6831
AZ
363AS0400X
Surgical Physician Assistant
6831
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363397
AZ
05
Z209089
AZ
Enumeration date
10/16/2017
Last updated
07/29/2022
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