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Individual

DR. MARK ZACHARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18275 N 59TH AVE, BLDG M #176, GLENDALE, AZ 85308-1260
(602) 843-2866
(602) 938-1491
Mailing address
18275 N 59TH AVE, BLDG M #176, GLENDALE, AZ 85308-1260
(602) 843-2866
(602) 938-1491

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
12879
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0467420
AETNA
AZ
01
1Z3860
HEALTHNET
AR
05
224204
AZ
01
34326
UHC
AZ
01
AZ0004670
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
12/05/2007
Last updated
04/01/2011
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