person
Mr. Mark Andrew Wilk
Home Modifications Contractor in Phoenix, Arizona
NPI 1790905131

Mark Andrew Wilk is a Home Modifications Contractor based in Phoenix, AZ and is specialized in Home Modifications. Mark Andrew Wilk practices in Phoenix, AZ. The NPI Number for Mark Andrew Wilk is 1790905131 and holds a License No. ROC 165112 (Arizona).

The current practice location address for Mark Andrew Wilk is 2011 W. Davis Road, Phoenix, AZ and can be reached out via phone at 602-942-6421 and via fax at 602-564-2840.

Location: 2011 W. Davis Road, Phoenix, AZ, 85023-7802
person
Provider Profile Details
NPI Number
1790905131
Provider Name
Mark Andrew Wilk
Credential
Provider Entity Type
Individual
Gender
Male
Address
2011 W. Davis Road, Phoenix, AZ, 85023-7802
Phone Number
602-942-6421
Fax Number
602-564-2840
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
436908 05 AZ
631029 05 AZ
institution
Provider Business Practice Location Address Details
Address
2011 W. Davis Road
City
State
Zip
85023-7802
Phone Number
602-942-6421
Fax Number
602-564-2840
person
Provider Business Mailing Address Details
Address
2011 W. Davis Road
City
State
Zip
85023-7802
Phone Number
602-942-6421
Fax Number
602-564-2840
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
License No.
ROC 165112 (Arizona)
Definition
Definition to come...
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