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Mark Zachary Md
Medical Specialty Clinic/Center in Glendale, Arizona
NPI 1306818158

Mark Zachary Md is a Medical Specialty Clinic/Center based in Glendale, AZ and is specialized in Medical Specialty. Mark Zachary Md practices in Glendale, AZ. The NPI Number for Mark Zachary Md is 1306818158 and holds a License No. 12879 (Arizona).

The current practice location address for Mark Zachary Md is 18275 N 59Th Ave, Glendale, AZ and can be reached out via phone at 602-843-2866 and via fax at 602-938-1491.

Location: 18275 N 59Th Ave, Glendale, AZ, 85308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306818158
Provider Name
Mark Zachary Md
Credential
Provider Entity Type
Organization
Address
18275 N 59Th Ave, Glendale, AZ, 85308
Phone Number
602-843-2866
Fax Number
602-938-1491
Provider Enumeration Date
02/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4207700 01 CIGNA
AZ0004670 01 BLUE CROSS BLUE SHIELD
1Z3860 01 HEALTHNET
224204 05 AZ
34326 01 UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
18275 N 59Th Ave
City
Glendale
State
Arizona
Zip
85308-1260
Phone Number
602-843-2866
Fax Number
602-938-1491
person
Provider Business Mailing Address Details
Address
18275 N 59Th Ave
City
Glendale
State
Arizona
Zip
85308-1260
Phone Number
602-843-2866
Fax Number
602-938-1491
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
12879 (Arizona)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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