Individual
MR. ADAM PANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 S 8TH AVE STE 200, YUMA, AZ 85364-7158
(928) 336-7095
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-7095
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
1908R80378
AZ
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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