Provider Demographics
NPI:1285607713
Name:SAWYER, ALLAN THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:THOMAS
Last Name:SAWYER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11660
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85318-1660
Mailing Address - Country:US
Mailing Address - Phone:602-509-2888
Mailing Address - Fax:623-594-6322
Practice Address - Street 1:8211 W WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1617
Practice Address - Country:US
Practice Address - Phone:602-319-0950
Practice Address - Fax:623-594-6322
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2017-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ19793207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF08067Medicare UPIN