Individual
JACOB SLIZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W THOMAS RD, PHOENIX, AZ 85013-4224
(602) 406-2323
Mailing address
500 W THOMAS RD, PHOENIX, AZ 85013-4224
(602) 406-2323
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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