Individual
ALEX PATRICK BAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2910 N 3RD AVE # 200, PHOENIX, AZ 85013-4434
(602) 406-6775
(602) 406-6398
Mailing address
1323 E WESTCHESTER DR, TEMPE, AZ 85283-3150
(708) 533-2484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
245760
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080295
—
AZ
Enumeration date
08/19/2020
Last updated
10/25/2022
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