Search › Arizona › 311ZA0620X
Timothy Pavlakes
NPI 1053665984 · on the registry since 2012 · sole proprietor
Practice
- Address
- 5133 W Fawn Dr
Laveen, AZ 85339 - Phone
- (602) 710-7166
- Fax
- (602) 441-2553
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona