Individual
DR. NICHOLAS DONALD KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2160 W CHANDLER BLVD, SUITE 19, CHANDLER, AZ 85224
(480) 963-3221
(480) 821-8424
Mailing address
2160 W CHANDLER BLVD, SUITE 19, CHANDLER, AZ 85224
(480) 963-3221
(480) 821-8424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
128
AZ
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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