MEDICARE: RICHARD I ZIPNICK MD

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
1	207X00000X	Orthopaedic Surgery Physician	24633	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215917240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD I ZIPNICK MD

Provider Business Mailing Address
First Line	:	1250 E 3900 S
Second Line	:	STE 440
City	:	SALT LAKE CTY
State	:	UT
Zip	:	84124-1349
Country	:	US
Telephone Number	:	602-667-7900
Fax Number	:	602-667-7993

Provider Business Practice Location Address
First Line	:	1250 E 3900 S
Second Line	:	STE 440
City	:	SALT LAKE CTY
State	:	UT
Zip	:	84124-1349
Country	:	US
Telephone Number	:	602-667-7900
Fax Number	:	602-667-7993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	02/04/2016

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