Nicolas James Zastrow in Phoenix - Medical

Nicolas James Zastrow - NPI 1972797173

Nicolas James Zastrow is a Medical in Phoenix, Arizona. Nicolas James Zastrow practices all healthcare services and medical treatments related to Medical. The NPI Number for Nicolas James Zastrow is 1972797173. The last update date is 2014-01-20.

Nicolas James Zastrow's current location address is 18444 N 25th Ave, Phoenix, Arizona. You can contact this provider via phone number 6235375600 and fax number 8669392673. The mailing address for Nicolas James Zastrow is 18444 N 25th Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Nicolas James Zastrow
Address 18444 N 25th Ave, Phoenix, Arizona
Phone Number 6235375600
Fax Number 8669392673
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1972797173
Provider Enumeration Date 2007-08-30
Last Updated Date 2014-01-20

Provider Mailing Address Detail

Address 18444 N 25th Ave
City Phoenix
State Arizona (AZ)
Post Code 850231261
Phone Number 6235375600
Fax Number 8669392673

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 3658
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5550830007 AZ MEDICARE NSC DV
5550830003 AZ MEDICARE NSC PEORIA
5550830001 AZ MEDICARE NSC SCW
5550830009 AZ MEDICARE NSC AZ NORTH
5550830010 AZ MEDICARE NSC GILBERT

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FAQs about Nicolas James Zastrow

What is the unique 10-digit identification code issued to Nicolas James Zastrow by the Centers for Medicare & Medicaid Services?

The Nicolas James Zastrow has been assigned the NPI (National Provider Identifier) 1972797173 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Nicolas James Zastrow's physical address?

The Nicolas James Zastrow is physically located at 18444 N 25Th Ave, in the city of Phoenix, AZ, with the postal code 850231261.

What is Nicolas James Zastrow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nicolas James Zastrow is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.

On what date did Nicolas James Zastrow receive its 1972797173 assignment from the Centers for Medicare & Medicaid Services?

The Nicolas James Zastrow was assigned its 1972797173 on 2007-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Nicolas James Zastrow most recently updated?

The details pertaining to the Nicolas James Zastrow, including its address, specialty, and other relevant information, were last refreshed on 2014-01-20.

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