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Individual

GRACE ZLAKET MATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9336 E RAINTREE DR, STE150, SCOTTSDALE, AZ 85260-7322
(480) 219-5597
(480) 219-5547
Mailing address
9336 E RAINTREE DR, STE150, SCOTTSDALE, AZ 85260-7322
(480) 219-5597
(480) 219-5547

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
23480
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
326480
AZ
Enumeration date
10/31/2005
Last updated
10/23/2024
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