Individual
JAMES LEO ZUKAITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2421 E SOUTHERN AVE, STE 7, TEMPE, AZ 85282-7612
(602) 744-4765
(602) 744-4799
Mailing address
PO BOX 41150, MESA, AZ 85274
(480) 353-7619
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050070255
MEDICARE RAILROAD
—
05
—
134643
—
AZ
Enumeration date
01/25/2006
Last updated
12/04/2020
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