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Organization
ZYON HOME CARE PHYSICIAN LLC
Active
Organization
ZYON HOME CARE PHYSICIAN LLC
Active
Other names
ZYON HOME CARE PHYSICIAN LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAIDAMOYO WAGONEKA (DIRECTOR)
(214) 664-2830
Entity
Organization
Contact information
Practice address
7007 E MAIN ST, MESA, AZ 85207-8204
(214) 664-2830
Mailing address
103 COTTONWOOD ST # 824, MORENCI, AZ 85540-9634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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