Provider Demographics
NPI:1053536805
Name:PYLE, MARK J (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:J
Last Name:PYLE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:3033 N CENTRAL AVE STE 145
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2808
Mailing Address - Country:US
Mailing Address - Phone:623-583-3001
Mailing Address - Fax:623-974-6721
Practice Address - Street 1:15351 W BELL RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-4580
Practice Address - Country:US
Practice Address - Phone:480-964-2273
Practice Address - Fax:623-214-5214
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2024-04-04
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Provider Licenses
StateLicense IDTaxonomies
AZ005244208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ430625Medicaid