Individual
DR. TODD MICHAEL HRABAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5750 W. THUNDERBIRD RD #G780, GLENDALE, AZ 85306-4636
(602) 314-4220
(602) 788-1890
Mailing address
13634 N 93RD AVE #100, PEORIA, AZ 85381-4248
(623) 933-0301
(623) 933-0224
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
4812
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z129011
MEDICARE PTAN
AZ
Enumeration date
07/12/2006
Last updated
10/24/2013
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