Individual
JEFFREY PAWLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6104 E BROWN RD, SUITE 101, MESA, AZ 85205-4953
(480) 219-4100
(877) 258-1138
Mailing address
6104 E BROWN RD, SUITE 101, MESA, AZ 85205-4953
(480) 219-4100
(877) 258-1138
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0433
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385634
—
AZ
01
—
480032937
MEDICARE RAILROAD
AZ
01
—
AZ0194390
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/22/2005
Last updated
06/08/2016
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