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Individual

ZACHARY DALTON BURKHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4530 E MUIRWOOD DR STE 105, PHOENIX, AZ 85048-7693
(480) 961-2303
Mailing address
4530 E MUIRWOOD DR STE 105, PHOENIX, AZ 85048-7693
(480) 961-2303

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
63200
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
095446
AZ
Enumeration date
04/11/2018
Last updated
08/12/2021
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