Healthcare Provider Details

I. General information

NPI: 1871233668
Provider Name (Legal Business Name): EDUARDO QUINONEZ ZANABRIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 E THOMAS RD
PHOENIX AZ
85016-7710
US

IV. Provider business mailing address

1527 E EL CAMINO DR
PHOENIX AZ
85020-3836
US

V. Phone/Fax

Practice location:
  • Phone: 602-933-1000
  • Fax:
Mailing address:
  • Phone: 480-365-9145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number79755
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: