Healthcare Provider Details
I. General information
NPI: 1184784944
Provider Name (Legal Business Name): DR JOZEF ZOLDOS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2006
Last Update Date: 07/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
370 E VIRGINIA AVE SUITE 100
PHOENIX AZ
85004-1214
US
IV. Provider business mailing address
PO BOX 7587
PHOENIX AZ
85011-7587
US
V. Phone/Fax
- Phone: 602-258-4788
- Fax: 602-258-5131
- Phone: 602-258-4788
- Fax: 602-258-5131
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0105X |
| Taxonomy | Surgery of the Hand (Surgery) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOZEF
ZOLDOS
Title or Position: OWNER
Credential: M.D.
Phone: 602-258-4788