Healthcare Provider Details
I. General information
NPI: 1528645249
Provider Name (Legal Business Name): ZACHARY EDWARD SITTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/27/2021
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1125 S ALMA SCHOOL RD STE 210
CHANDLER AZ
85286-2811
US
IV. Provider business mailing address
1125 S ALMA SCHOOL RD STE 210
CHANDLER AZ
85286-2811
US
V. Phone/Fax
- Phone: 480-684-6157
- Fax:
- Phone: 480-684-6157
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 77297 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | 77297 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: