Individual
MARK A ZAETTA
Active
Individual
MARK A ZAETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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