# ZYON HOME CARE PHYSICIAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ZYON HOME CARE PHYSICIAN LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225816325
- **Authorized official:** PAIDAMOYO WAGONEKA (DIRECTOR)
- **Authorized official phone:** (214) 664-2830

## Contact information

- **Practice address:** 7007 E MAIN ST, MESA, AZ 85207-8204
- **Practice address phone:** (214) 664-2830
- **Mailing address:** 103 COTTONWOOD ST \# 824, MORENCI, AZ 85540-9634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2023
- **Last updated:** 09/19/2023