LOUIS J PROCHNICKI, M.D. , P.C.
Medical Practice at Gilbert Rd, Mesa, AZ

License number
Arizona 13402
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: DR. LOUIS J PROCHNICKI M.D.
Title: PRESIDENT/CEO
Phone: (480) 632-7707
Address
Address
1121 S Gilbert Rd, Mesa, AZ 85204
National Provider ID: 1467775957
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LOUIS J. PROCHNICKI, M.D., PC

3848 E Mallory St, Mesa, AZ 85215

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Dec 2, 1982
Inactive since:
Jun 12, 2013
State ID:
-0151928-8
Expiration:
PERPETUAL
President/ceo:
Louis J Prochnicki (President/ceo), 3848 E Mallory St, Mesa, AZ 85215 (Physical)
Business type:
HEALTH CARE

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