ROBERT J SIVAK, M.D., LTD
Psychiatric at Mill Ave, Tempe, AZ

License number
Arizona 12253
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. ROBERT JOHN SIVAK MD
Title: PRESIDENT
Phone: (480) 345-1200
Address
Address
4600 S Mill Ave SUITE 160, Tempe, AZ 85282
National Provider ID: 1578738936
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ROBERT J. SIVAK, M.D., LTD

4600 S Ml Ave #160, Tempe, AZ 85282

Status:
Inactive
Inactive reason:
Ad-dissolved-file annual report
Registration:
Nov 22, 1983
Inactive since:
Aug 30, 2012
State ID:
-0160819-5
Expiration:
PERPETUAL
President:
Robert J Sivak Md (President), 4600 S Ml Ave #160, Tempe, AZ 85282 (Physical)
Business type:
HEALTH CARE

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