Individual
MRS. SUSAN ELIZABETH ZISLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2702 E FLOWER ST, PHOENIX, AZ 85016-7461
(602) 381-6034
(602) 381-6054
Mailing address
2319 E INCA ST, MESA, AZ 85213-3423
(602) 381-6034
(602) 381-6054
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8504
AZ
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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