NPI 1063416758

Mark C Sivakoff, MD

Practitioner Pediatrics Physician Surprise, AZ

Practice location

Address: 15351 W Bell Rd, Surprise, AZ 85374-4580
Phone: (877) 809-5092
Fax: (623) 815-9253
Mailing address: 9520 W Palm Ln Suite 200, Phoenix, AZ 85037-4403

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 34095 (AZ)

Other Pediatrics providers in Arizona →

Registry record

NPI: 1063416758
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2005
Record last updated: 8 Apr 2013

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.