Individual
BELLENE E RACOWSKY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8260 W INDIAN SCHOOL RD, SUITE 1 AND 2, PHOENIX, AZ 85033-2980
(623) 846-7122
Mailing address
PO BOX 32950, PHOENIX, AZ 85064-2950
(602) 433-1822
(602) 246-7060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1248
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462432
—
AZ
Enumeration date
02/08/2006
Last updated
07/08/2007
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