Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 55935 | AZ |
NPI | 1003298480 |
---|---|
Provider Name | Matthew Sterling Zweig |
First Address | Tempe, AZ 85281-5087 |
Second Address | Tempe, AZ 85281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2015 |
Last Update Date | 16/04/2019 |