Provider Demographics
NPI:1245230440
Name:ZUSCHKE, EVA M (MD)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:M
Last Name:ZUSCHKE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1728 W GLENDALE AVE
Mailing Address - Street 2:SUITE #303
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-8860
Mailing Address - Country:US
Mailing Address - Phone:602-249-4700
Mailing Address - Fax:602-433-7362
Practice Address - Street 1:1728 W GLENDALE AVE
Practice Address - Street 2:SUITE #303
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-8860
Practice Address - Country:US
Practice Address - Phone:602-249-4700
Practice Address - Fax:602-433-7362
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2018-01-04
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Provider Licenses
StateLicense IDTaxonomies
AZ19343207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE60263Medicare UPIN