Individual
DR. KOSTA MARK ZINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
167 N MAIN ST, TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DR0036164
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01371641
—
CO
01
—
70544
BC BSH
—
05
—
825101
—
AZ
01
—
DB2526
RR MEDICARE GRP
—
01
—
P00131665
RR MEDICARE PIN
—
01
—
TEZEE0YM9N
MEDICARE
AZ
Enumeration date
11/01/2006
Last updated
03/07/2023
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