Healthcare Provider Details

I. General information

NPI: 1487778023
Provider Name (Legal Business Name): PHILIP J. ZAIR D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18185 N 83RD AVE STE D209
GLENDALE AZ
85308-0516
US

IV. Provider business mailing address

18185 N 83RD AVE STE D209
GLENDALE AZ
85308-0516
US

V. Phone/Fax

Practice location:
  • Phone: 480-347-0337
  • Fax: 480-347-0338
Mailing address:
  • Phone: 480-347-0337
  • Fax: 480-347-0338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7419
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number449
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: