Organization
NEUROCRITICAL CARE AND STROKE OF ARIZONA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR ZACH MD (MANAGER)
(480) 420-6428
Entity
Organization
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 396-7491
Mailing address
111 E DUNLAP AVE, STE 1-279, PHOENIX, AZ 85020-2807
(602) 396-7491
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
—
2084V0102X
Vascular Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628271
—
AZ
Enumeration date
04/26/2011
Last updated
07/15/2013
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