Organization
NEUROCRITICAL CARE AND STROKE OF ARIZONA PLLC
Active
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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