Provider Demographics
NPI:1265497960
Name:ZONIS, JULIO (MD)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:
Last Name:ZONIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5059
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85366-5059
Mailing Address - Country:US
Mailing Address - Phone:928-344-8485
Mailing Address - Fax:928-344-9031
Practice Address - Street 1:1025 W 24TH ST
Practice Address - Street 2:STE. 30
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8366
Practice Address - Country:US
Practice Address - Phone:928-344-8485
Practice Address - Fax:928-344-9031
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ147982084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ215063Medicaid
D00623Medicare UPIN
AZ215063Medicaid
AZP00146693Medicare PIN