Organization
ARIZONA MEDICAL CLINIC, LTD.
Active
Organization
ARIZONA MEDICAL CLINIC, LTD.
Active
Other names
E Kowaleski MD Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KOWALESKI MD (MEDICAL DIRECTOR)
(623) 876-3800
Entity
Organization
Contact information
Practice address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3995
(623) 876-6957
Mailing address
13640 N PLAZA DEL RIO BLVD, PEORIA, AZ 85381-4846
(623) 876-3995
(623) 876-6957
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
AZ
Other
Enumeration date
07/04/2006
Last updated
07/16/2007
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