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MARK ZACHARY MD NPI 1306818158


NPI Information

NPI: 1306818158
Provider Name: MARK ZACHARY MD
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
18275 N 59TH AVE
BLDG M 176
GLENDALE, AZ
ZIP 85308
Phone: (602) 843-2866
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MARK ZACHARY MD is a medical specialty clinic center in Glendale, AZ. The provider is 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). MARK ZACHARY MD NPI is 1306818158. The provider is registered as an organization entity type.

The provider's business location address is:

18275 N 59TH AVE
BLDG M 176
GLENDALE, AZ
ZIP 85308-260
Phone: (602) 843-2866
Fax: (602) 938-1491

The provider's authorized official is Mark Zachary .
The authorized official title is Orthopedic Surgeon and has the following contact phone number (602) 843-2866.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 12/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty12879ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AZ0004670OTHERBLUE CROSS BLUE SHIELD
21Z3860OTHERHEALTHNET
3224204MEDICAIDARIZONA
434326OTHERUNITED HEALTHCARE
54207700OTHERCIGNA
6D37889MEDICARE UPIN
70000BGJZQMEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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