Provider Demographics
NPI:1720053390
Name:JABCZENSKI, FELIX FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:FELIX
Middle Name:FRANCIS
Last Name:JABCZENSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 W ORANGE GROVE RD #135
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-1289
Mailing Address - Country:US
Mailing Address - Phone:520-229-9600
Mailing Address - Fax:520-229-9601
Practice Address - Street 1:1871 W ORANGE GROVE RD STE 135
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-1289
Practice Address - Country:US
Practice Address - Phone:520-229-9600
Practice Address - Fax:520-229-9601
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23092207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ694118Medicaid
AZ118175Medicare PIN
AZ694118Medicaid
AZ68407Medicare PIN