| Philip Kaczar Md Pc | |
|
1300 N 12th St Suite #516 Phoenix AZ 85006-2848 | |
| (602) 252-3967 | |
| (602) 252-1474 |
| Full Name | Philip Kaczar Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1300 N 12th St, Phoenix, Arizona |
| Authorized Official Name and Position | Faye Greenman (OFFICE MANAGER) |
| Authorized Official Contact | 6022523967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip Kaczar Md Pc 1300 N 12th St Suite #516 Phoenix AZ 85006-2848 Ph: (602) 252-3967 | Philip Kaczar Md Pc 1300 N 12th St Suite #516 Phoenix AZ 85006-2848 Ph: (602) 252-3967 |
| NPI Number | 1033487442 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033487442 | NPI | - | NPPES |
| 457516 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26301 (Arizona) | Primary |
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