Jack Hawks PC

NPI #1972626141 in Peoria, Arizona

Provider Information

NPI Number: 1972626141
Entity Type: Organization
Organization Name: Jack Hawks PC
Primary Specialty: Specialist
Enumeration Date: Apr 10, 2007
Last Updated: Jan 20, 2011

Practice Location

Address: 9191 W THUNDERBIRD ROAD
Address 2: D 105
City: Peoria
State: Arizona
ZIP Code: 85381
Phone: (623) 849-3811

Authorized Official

Name: DR. JACK HAWKS, DO
Title: PHYSICIAN
Phone: (623) 849-3811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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