Basic Information
Provider Information
NPI: 1003298480
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZWEIG
FirstName: MATTHEW
MiddleName: STERLING
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 280 S EVERGREEN RD UNIT 1248
Address2:  
City: TEMPE
State: AZ
PostalCode: 852815087
CountryCode: US
TelephoneNumber: 8477367346
FaxNumber:  
Practice Location
Address1: 1626 S PRIEST DR STE 104
Address2:  
City: TEMPE
State: AZ
PostalCode: 85281
CountryCode: US
TelephoneNumber: 4808827320
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2015
LastUpdateDate: 04/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X55935AZY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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