Healthcare Provider Details

I. General information

NPI: 1912113960
Provider Name (Legal Business Name): MELISSA JOY ZUERCHER-BINKERD C-PED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11041 E CASCABEL PASS
HEREFORD AZ
85615-8320
US

IV. Provider business mailing address

103 NAVAJO DR
BISBEE AZ
85603-9758
US

V. Phone/Fax

Practice location:
  • Phone: 520-249-5746
  • Fax:
Mailing address:
  • Phone: 520-249-5746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberC-PED2314
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: