Organization
MARK ZACHARY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ZACHARY M.D. (ORTHOPEDIC SURGEON)
(602) 843-2866
Entity
Organization
Contact information
Practice address
18275 N 59TH AVE, BLDG M 176, GLENDALE, AZ 85308-1260
(602) 843-2866
(602) 938-1491
Mailing address
18275 N 59TH AVE, BLDG M 176, GLENDALE, AZ 85308
(602) 843-2866
(602) 938-1491
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12879
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z3860
HEALTHNET
—
05
—
224204
—
AZ
01
—
34326
UNITED HEALTHCARE
—
01
—
4207700
CIGNA
—
01
—
AZ0004670
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/06/2006
Last updated
12/07/2007
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