Organization
ALLERGY, EARS, NOSE AND THROAT OF PAYSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M ZONAKIS MD (PHYSICIAN)
(928) 474-0500
Entity
Organization
Contact information
Practice address
903 E. HWY 260, PAYSON, AZ 85541
(928) 474-0500
(928) 474-3632
Mailing address
PO BOX 1393, PAYSON, AZ 85547-1393
(928) 474-0500
(928) 474-3632
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
24125
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
697170
—
AZ
Enumeration date
08/14/2007
Last updated
08/14/2007
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