Individual
ZACHARY RAPHAEL TEIBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3648 W ANTHEM WAY STE A100, ANTHEM, AZ 85086-7002
(623) 434-6444
Mailing address
16217 N 65TH PL, SCOTTSDALE, AZ 85254-1460
(585) 831-0867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77121
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202695692
EXCELLUS BLUE CROSS BLUE SHIELD
AZ
Enumeration date
03/26/2020
Last updated
08/21/2025
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