Provider Demographics
NPI:1942314208
Name:ZEITLIN, WARREN M (MD PC)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:M
Last Name:ZEITLIN
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
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Mailing Address - Street 1:95 SOLDIER PASS RD
Mailing Address - Street 2:SUITE B1
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336
Mailing Address - Country:US
Mailing Address - Phone:928-282-5865
Mailing Address - Fax:928-282-5742
Practice Address - Street 1:95 SOLDIER PASS RD
Practice Address - Street 2:SUITE B1
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336
Practice Address - Country:US
Practice Address - Phone:928-282-5865
Practice Address - Fax:928-282-5742
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2011-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ20208207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ008525Medicaid
AZ008525Medicaid
B35102Medicare UPIN