Individual
DR. JUSTIN LEE MAKOVICKA
Active
Individual
DR. JUSTIN LEE MAKOVICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
54622
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
54622
AZ
Other
Enumeration date
05/11/2016
Last updated
12/13/2023
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