# MARK ZACHARY MD

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

## Provider details

- **NPI number:** 1306818158
- **Authorized official:** MARK ZACHARY M.D. (ORTHOPEDIC SURGEON)
- **Authorized official phone:** (602) 843-2866

## Contact information

- **Practice address:** 18275 N 59TH AVE, BLDG M 176, GLENDALE, AZ 85308-1260
- **Practice address phone:** (602) 843-2866
- **Practice address fax:** (602) 938-1491
- **Mailing address:** 18275 N 59TH AVE, BLDG M 176, GLENDALE, AZ 85308
- **Mailing address phone:** (602) 843-2866
- **Mailing address fax:** (602) 938-1491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 12879 | AZ | Yes |

## Other

- **Enumeration date:** 02/06/2006
- **Last updated:** 12/07/2007