Individual
IAN RAWLUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20236 N JOHN WAYNE PKWY, MARICOPA, AZ 85139
(520) 518-7510
Mailing address
2785 E HIGHLAND CT, GILBERT, AZ 85296-8863
(914) 595-6653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11211
AZ
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11211
AZ LICENSE
AZ
Enumeration date
06/30/2025
Last updated
07/29/2025
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