MEDICARE: KENNETH S ZURCHER 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	2085R0202X	Diagnostic Radiology Physician	2085R0202X	AZ
2	2085R0202X	Diagnostic Radiology Physician	56935	AZ
3	208600000X	Surgery Physician	R76343	AZ
4	2085R0204X	Vascular & Interventional Radiology Physician	56935	AZ

General Provider Information

NPI Number	:	1841729431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH S ZURCHER MD

Provider Business Mailing Address
First Line	:	22455 N MILLER RD # B100
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4956
Country	:	US
Telephone Number	:	480-725-0945
Fax Number	:

Provider Business Practice Location Address
First Line	:	22455 N MILLER RD # B100
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-4956
Country	:	US
Telephone Number	:	480-725-0945
Fax Number	:

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

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	11/20/2023

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