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NPI Code Detail

MEDICARE: DR. JAMIE ZAMORA NMD

MEDICARE: DR. JAMIE ZAMORA NMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath17-1653AZ

General Provider Information

NPI Number : 1043721053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMIE ZAMORA NMD
Provider Business Mailing Address
First Line : 4034 E JOAN DE ARC AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-6315
Country : US
Telephone Number : 602-909-5023
Fax Number :
Provider Business Practice Location Address
First Line : 5622 W PALMAIRE AVE
Second Line :
City : GLENDALE
State : AZ
Zip : 85301-2510
Country : US
Telephone Number : 623-748-7655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2017
Last Update Date : 10/17/2017

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