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NPI Code Detail

MEDICARE: IRENE ZARRAGA MD

MEDICARE: IRENE ZARRAGA 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
1207R00000XInternal Medicine Physician40930AZ

General Provider Information

NPI Number : 1881774131
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE ZARRAGA MD
Provider Business Mailing Address
First Line : 2555 E GILA RIDGE RD
Second Line :
City : YUMA
State : AZ
Zip : 85365-2240
Country : US
Telephone Number : 928-317-9972
Fax Number : 928-317-9789
Provider Business Practice Location Address
First Line : 2555 E GILA RIDGE RD
Second Line :
City : YUMA
State : AZ
Zip : 85365-2240
Country : US
Telephone Number : 928-317-9972
Fax Number : 928-317-9789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/23/2010

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