Individual
MR. JOSEPH NORMAN SURDYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
16611 S 15TH DR, PHOENIX, AZ 85045-0772
(480) 516-4607
Mailing address
16611 S 15TH DR, PHOENIX, AZ 85045-0772
(480) 516-4607
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8403
SOIDC
—
Enumeration date
09/12/2012
Last updated
09/12/2012
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