MEDICARE: DR. HOWARD ROBERT ZVEITEL D.O.

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	207Q00000X	Family Medicine Physician	2342	AZ

General Provider Information

NPI Number	:	1952389223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD ROBERT ZVEITEL D.O.

Provider Business Mailing Address
First Line	:	4925 N BEAR CANYON RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-8629
Country	:	US
Telephone Number	:	520-228-2810
Fax Number	:	520-228-2541

Provider Business Practice Location Address
First Line	:	4175 S ALAMO AVE
Second Line	:	355TH MEDICAL GROUP
City	:	TUCSON
State	:	AZ
Zip	:	85707-6097
Country	:	US
Telephone Number	:	520-228-2810
Fax Number	:	520-228-2541

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	07/08/2007

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