Mazurek, Amanda

Mazurek, Amanda is an individual health care provider with primary practice located at 6301 S Mcclintock Dr Ste 101 , Tempe AZ 85283-3393. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mazurek, Amanda can be contacted via phone (602) 933-4550.

Contact Information

Primary practice address
6301 S Mcclintock Dr Ste 101 Tempe AZ 85283-3393
Phone: (602) 933-4550
Fax: (602) 933-8956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72819 Arizona

Profile Details

NPI number 1164086690
LBN Legal business name Mazurek, Amanda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2019
Last updated Jun 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164086690 NPPES
Arizona MEDICAID 210722

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