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Individual

DR. GUILLERMO G ZEGARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2182 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6044
(928) 758-6420
(928) 758-6509
Mailing address
2182 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6757
(928) 758-6420
(928) 758-6509

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32150
AZ
207R00000X
Internal Medicine Physician
32150
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
932401
AS
Enumeration date
07/31/2006
Last updated
04/02/2024
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