Individual
JOHN MODRZEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
15920 S RANCHO SAHUARITA BLVD STE 120, SAHUARITA, AZ 85629-8013
(520) 575-1175
Mailing address
15920 S RANCHO SAHUARITA BLVD STE 120, SAHUARITA, AZ 85629-8013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4843
AZ
Other
Enumeration date
02/19/2013
Last updated
09/22/2020
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