Provider Demographics
NPI:1538461157
Name:ZELLER, BARRIE ANN (NMD)
Entity Type:Individual
Prefix:DR
First Name:BARRIE
Middle Name:ANN
Last Name:ZELLER
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 N DOBSON RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-8594
Mailing Address - Country:US
Mailing Address - Phone:480-361-5108
Mailing Address - Fax:480-361-7058
Practice Address - Street 1:1405 N DOBSON RD
Practice Address - Street 2:SUITE 9
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-8594
Practice Address - Country:US
Practice Address - Phone:480-361-5108
Practice Address - Fax:480-361-7058
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10-1208175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath