Individual
MATTHEW JOSEPH PAVELEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3033 N 44TH ST STE 100, PHOENIX, AZ 85018-7227
(602) 393-1010
(602) 393-1011
Mailing address
3033 N 44TH ST STE 100, PHOENIX, AZ 85018-7227
(602) 393-1010
(602) 393-1011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6899
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6899
ARIZONA STATE LICENSE
AZ
Enumeration date
01/03/2017
Last updated
10/29/2018
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