Healthcare Provider Details
I. General information
NPI: 1548764715
Provider Name (Legal Business Name): SARAH ZHOU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/21/2018
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3150 N 12TH ST
GRAND JUNCTION CO
81506-2863
US
IV. Provider business mailing address
PO BOX 10700
GRAND JUNCTION CO
81502-5517
US
V. Phone/Fax
- Phone: 970-245-1220
- Fax:
- Phone: 970-245-9370
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | DR.0070562 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 036.155525 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: