Most Relevant Information
Provider Data
| NPI Number: | 1003831439 |
| Provider Name: | JOHN P. PRIMAK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 1377 |
Most Important Dates
| Enumeration Date: | 07/13/2006 |
| Last Updated: | 09/15/2011 |
Provider Practice Location
934 W HATCHER RD
PHOENIX
AZ
850213139
Practice Location Phone/Fax
| Phone: | 6023446300 |
| Fax: | 6023446301 |
Provider Mailing Location
2929 E THOMAS RD
PHOENIX
AZ
850168034
Provider Mailing Phone/Fax
| Phone: | 6024705000 |
| Fax: |