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GREGG STEVEN ZANKMAN D.O.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1558343871

Individual Registrant:
 GREGG STEVEN ZANKMAN D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
950 E MAIN ST BLDG B  SOMERTON, AZ 85350-7409 US
Tel: 928-236-8001  Fax: 928-722-6113

Contact information for business:
PO BOX 617  SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001  Fax: 928-722-6113

Registration Information:
NPI: 1558343871
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
AZ3618

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AHCCCS ID #554205AZ01




HEALTH CARE JOBS AZ - Page 1



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