Provider Demographics
NPI:1528845542
Name:POCZWARDOWSKI, PIOTR ARTHUR (PA-C)
Entity type:Individual
Prefix:MR
First Name:PIOTR
Middle Name:ARTHUR
Last Name:POCZWARDOWSKI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13906 ASHGROVE CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3902
Mailing Address - Country:US
Mailing Address - Phone:720-427-0044
Mailing Address - Fax:
Practice Address - Street 1:7257 N FRESNO ST FL 1
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2950
Practice Address - Country:US
Practice Address - Phone:559-277-7463
Practice Address - Fax:559-451-3690
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA64108363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant