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Organization

PETER NIEMCZYK MD FACS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER NIEMCZYK MD (DIRECTOR)
(623) 780-2300
Entity
Organization

Contact information

Practice address
5171 CUB LAKE RD, SUITE C340, SHOW LOW, AZ 85901-7888
(928) 537-0111
(623) 583-9666
Mailing address
20325 N 51ST AVE, SUITE 102, GLENDALE, AZ 85308-5674
(623) 780-2300
(623) 583-9666

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34718
AZ

Other

Enumeration date
11/28/2007
Last updated
05/21/2010
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