Healthcare Provider Details

I. General information

NPI: 1265814404
Provider Name (Legal Business Name): JUSTIN ANTHONY ZEPPIERI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2015
Last Update Date: 06/20/2023
Certification Date: 06/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13331 W INDIAN SCHOOL RD STE B203
LITCHFIELD PARK AZ
85340-4340
US

IV. Provider business mailing address

4801 E MCDOWELL RD STE 250
PHOENIX AZ
85008-7725
US

V. Phone/Fax

Practice location:
  • Phone: 623-269-3990
  • Fax: 623-269-3924
Mailing address:
  • Phone: 602-464-9576
  • Fax: 480-428-0475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number59993
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: