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Organization
ROSE MEDICAL PAVILION PLLC
Active
Organization
ROSE MEDICAL PAVILION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA ZACH MD (PHYSICIAN OWNER)
(623) 257-7673
Entity
Organization
Contact information
Practice address
22044 N 44TH ST STE 200, PHOENIX, AZ 85050-6104
(602) 341-5035
Mailing address
22044 N 44TH ST STE 200, PHOENIX, AZ 85050-6104
(623) 257-7673
(623) 257-7344
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
NULL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
261Q00000X
Clinic/Center
—
NULL
261QX0200X
Oncology Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/05/2023
Last updated
01/12/2026
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