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Individual

IAN RAWLUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
20236 N JOHN WAYNE PKWY, MARICOPA, AZ 85139
(520) 518-7510
Mailing address
2324 COMMERCE ST, ALPHARETTA, GA 30009-3806
(914) 595-6653

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11211
AZ
363A00000X
Physician Assistant
14139
GA
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11211
AZ LICENSE
AZ
Enumeration date
06/30/2025
Last updated
08/04/2026
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