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Individual

DR. PAUL SACKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9100 N 2ND ST, SUITE 221, PHOENIX, AZ 85020-2446
(602) 943-1231
(602) 395-9574
Mailing address
6622 N. 91ST AVE.,, SUITE 220, GLENDALE, AZ 85305
(602) 759-6883
(602) 224-3358

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
17673
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276221
AZ
Enumeration date
05/27/2005
Last updated
09/28/2017
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