# ROSE MEDICAL PAVILION PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154101152
- **Authorized official:** TAMARA ZACH MD (PHYSICIAN OWNER)
- **Authorized official phone:** (623) 257-7673

## Contact information

- **Practice address:** 22044 N 44TH ST STE 200, PHOENIX, AZ 85050-6104
- **Practice address phone:** (602) 341-5035
- **Mailing address:** 22044 N 44TH ST STE 200, PHOENIX, AZ 85050-6104
- **Mailing address phone:** (623) 257-7673
- **Mailing address fax:** (623) 257-7344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2023
- **Last updated:** 01/12/2026