Individual
DR. ZANDRA S. NOCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4440 N 36TH ST STE 110, PHOENIX, AZ 85018-3589
(602) 956-1994
(602) 957-6250
Mailing address
PO BOX 53536, PHOENIX, AZ 85072-3536
(602) 956-1994
(602) 957-6250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14587
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117704
PTAN
AZ
05
—
238429
—
AZ
01
—
300046239
RAILROAD MEDICARE
AZ
Enumeration date
09/20/2006
Last updated
01/06/2015
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