Individual
KEVIN ZUIDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6750 E BAYWOOD AVE # 401, MESA, AZ 85206-1749
(480) 835-7111
Mailing address
6750 E BAYWOOD AVE # 401, MESA, AZ 85206-1749
(480) 835-7111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0060377
CO
207R00000X
Internal Medicine Physician
R2395
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
006863
AZ
207RP1001X
Pulmonary Disease Physician
Primary
006863
AZ
Other
Enumeration date
05/05/2014
Last updated
11/21/2022
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