Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 54900 | AZ |
Y | 208600000X | Surgeon | 54900 | AZ |
N | 2082S0105X | Plastic Hand Surgeon | 54900 | AZ |
N | 2086S0122X | Plastic and Reconstructive Surgery | 54900 | AZ |
NPI | 1366685711 |
---|---|
Provider Name | Joseph Zakhary |
First Address | Phoenix, AZ 85028-3080 |
Second Address | Phoenix, AZ 85028-3080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2009 |
Last Update Date | 27/12/2019 |