Organization Name: | HAAGGZ MEDICAL CLINIC, CO |
NPI Number: | 1932378338 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZEPYUR NENEDZHYAN (CEO) |
Mailing Address: | 13925 Meeker Blvd., Ste 17 Sun City West |
State: | AZ US |
Postal Code: | 85375 |
Phone Number: | 6232622309 |
Fax Number: | |
NPI Enumeration Date: | 02/29/2008 |
NPI Last Update Date: | 04/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |