Healthcare Provider Details

I. General information

NPI: 1275282493
Provider Name (Legal Business Name): COLTEN ZANE DILLINGER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 E MUIRWOOD DR STE 105
PHOENIX AZ
85048-7693
US

IV. Provider business mailing address

4530 E MUIRWOOD DR STE 105
PHOENIX AZ
85048-7693
US

V. Phone/Fax

Practice location:
  • Phone: 480-961-2303
  • Fax: 480-961-0419
Mailing address:
  • Phone: 480-961-2303
  • Fax: 480-961-0419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number012186
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number012186
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: