Organization · Type 2 NPI

Jack Hawks PC

Specialist · Peoria, AZ

NPI number 1972626141 Active

Practice location

9191 W Thunderbird Road, D 105
Peoria, AZ 85381

Fax (623) 849-5221

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4049 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1972626141

Jack Hawks PC's National Provider Identifier is 1972626141, issued on Apr 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Peoria, AZ. The record was last updated on Jan 20, 2011.