MEDICARE: DR. GUILLERMO G ZEGARRA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	32150	AZ
2	174400000X	Specialist	32150	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568478493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUILLERMO G ZEGARRA M.D.

Provider Business Mailing Address
First Line	:	2182 HIGHWAY 95
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-6757
Country	:	US
Telephone Number	:	928-758-6420
Fax Number	:	928-758-6509

Provider Business Practice Location Address
First Line	:	2182 HIGHWAY 95
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-6044
Country	:	US
Telephone Number	:	928-758-6420
Fax Number	:	928-758-6509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	04/02/2024

Similar Medicare Providers

1649366378 — ABAN CARE CLINIC LLC
Practice Location Address:

2182 HIGHWAY 95
BULLHEAD CITY, AZ
86442-6044

Practice Phone: 928-758-6420
Practice Fax: 928-758-6509

1093899379 — MR. JOSE HIRAM ALVAREZ M.D.
Practice Location Address:

2182 HWAY 95
BULLHEAD CITY, AZ
86442-6044

Practice Phone: 928-758-6420
Practice Fax: 928-758-6509

1518580869 — ZEGARRA HOSPITAL AND NURSING HOME SERVICES PLLC
Practice Location Address:

2182 HWAY 95
BULLHEAD CITY, AZ
86442-6044

Practice Phone: 928-758-6420
Practice Fax:

1376141424 — COURTNEY ANN MITCHELL FNP-C
Practice Location Address:

2182 HIGHWAY 95
BULLHEAD CITY, AZ
86442-6044

Practice Phone: 928-758-6420
Practice Fax:

1629924162 — MISS ROBERTA ELAINE DUDDLESTON
Practice Location Address:

6044 W BRITTON RD APT C
OKLAHOMA CITY, OK
73132-2463

Practice Phone: 405-465-0647
Practice Fax:

1124165089 — SEAN PATRICK O'NEILL O.D.
Practice Location Address:

1614 SYCAMORE ST
IOWA CITY, IA
52240-6044

Practice Phone: 319-337-3737
Practice Fax:

Directions to “ DR. GUILLERMO G ZEGARRA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.