Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 02-678 | AZ |
NPI | 1154532380 |
---|---|
Provider Name | Dr. Mariam Zahrah Malek |
First Address | Scottsdale, AZ 85255-0103 |
Second Address | Scottsdale, AZ 85260-1553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2007 |
Last Update Date | 08/07/2007 |