Organization
JOSEPH K ZACHARIAH, DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH K ZACHARIAH DO (PRESIDENT/OWNER)
(602) 791-8100
Entity
Organization
Contact information
Practice address
4723 E DESERT PARK PL, PARADISE VALLEY, AZ 85253-2949
(602) 486-5956
(623) 374-2321
Mailing address
PO BOX 789, PEORIA, AZ 85380-0789
(602) 486-5956
(623) 374-2321
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
3216
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379207
—
AZ
Enumeration date
04/04/2008
Last updated
04/04/2008
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