Healthcare Provider Details

I. General information

NPI: 1427448893
Provider Name (Legal Business Name): JUN ZHONG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2015
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10752 N 89TH PL STE C230
SCOTTSDALE AZ
85260-6730
US

IV. Provider business mailing address

10752 N 89TH PL STE C230
SCOTTSDALE AZ
85260-6730
US

V. Phone/Fax

Practice location:
  • Phone: 602-768-6704
  • Fax: 325-289-6197
Mailing address:
  • Phone: 602-768-6704
  • Fax: 325-289-6197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMTL002309
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number55623
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: