Healthcare Provider Details

I. General information

NPI: 1134192248
Provider Name (Legal Business Name): DAVID HENRY ZACHEIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 04/29/2020
Certification Date: 04/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 N SILVERBELL RD STE 201
TUCSON AZ
85745-2719
US

IV. Provider business mailing address

9097 E DESERT COVE AVE STE 200
SCOTTSDALE AZ
85260-6280
US

V. Phone/Fax

Practice location:
  • Phone: 520-792-2170
  • Fax: 520-792-9702
Mailing address:
  • Phone: 480-614-5406
  • Fax: 480-214-9929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number43544
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number49389
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: