Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Mark Andrew Wilk

Individual provider Home Modifications Contractor · NPI 1790905131

Mr. Mark Andrew Wilk is a Home Modifications Contractor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

2011 W Davis Rd
Phoenix, AZ 85023-7802
Phone: (602) 942-6421
Fax: (602) 564-2840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Modifications Contractor (primary) Taxonomy 171WH0202X · Licence ROC 165112 (AZ)

Record details

NPI number1790905131
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESJuly 9, 2007

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