Individual
MARK A ZAETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4730 E GRANT RD, TUCSON, AZ 85712-2703
(520) 290-0300
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(520) 290-0300
(520) 298-9230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25691
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10093
PACFICARE SECURE HORIZONS
—
01
—
110159569
RR MEDICARE
—
01
—
1763237
UNITED HEALTH CARE
—
01
—
1Z7531
HEALTH NET
—
01
—
860780125
CIGNA
—
01
—
AZ0811130
BLUE CROSS BLUE SHIELD
—
Enumeration date
12/01/2005
Last updated
09/16/2022
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