Individual
DR. ROGER JAMES HUCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5620 W THUNDERBIRD RD, STE E1, GLENDALE, AZ 85306-4651
(602) 547-1623
(602) 547-1767
Mailing address
5620 W THUNDERBIRD RD, STE E1, GLENDALE, AZ 85306-4651
(602) 547-1623
(602) 547-1767
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
19766
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044967
—
AZ
Enumeration date
06/24/2005
Last updated
07/08/2007
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