NPI 1053665984
Timothy Pavlakes
Practice location
- Address
- 5133 W Fawn Dr, Laveen, AZ 85339-2898
- Phone
- (602) 710-7166
- Fax
- (602) 441-2553
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1053665984
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Oct 2012
- Record last updated
- 30 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.