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Mark Rainaldo Porvaznik, DO
Student in an Organized Health Care Education/Training Program in Chandler, Arizona
NPI 1417513474

Mark Rainaldo Porvaznik is a Student in an Organized Health Care Education/Training Program based in Chandler, AZ. Mark Rainaldo Porvaznik practices in Chandler, AZ and has the professional credentials of DO. The NPI Number for Mark Rainaldo Porvaznik is 1417513474 and holds a License No. (Arizona).

The current practice location address for Mark Rainaldo Porvaznik is 1306 W Cortez Ct, Chandler, AZ and can be reached out via phone at 703-638-8667.

Location: 1306 W Cortez Ct, Chandler, AZ, 85224-6013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417513474
Provider Name
Mark Rainaldo Porvaznik
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1306 W Cortez Ct, Chandler, AZ, 85224-6013
Phone Number
703-638-8667
Fax Number
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1306 W Cortez Ct
City
Chandler
State
Arizona
Zip
85224-6013
Phone Number
703-638-8667
Fax Number
person
Provider Business Mailing Address Details
Address
1306 W Cortez Ct
City
Chandler
State
Arizona
Zip
85224-6013
Phone Number
703-638-8667
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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