Basic Information
| Provider Information | |||||||||
| NPI: | 1023546082 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARBOR MEDICAL PARTNERS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9827 N 95TH ST STE 105 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852584591 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808608488 | ||||||||
| FaxNumber: | 4808608498 | ||||||||
| Practice Location | |||||||||
| Address1: | 9827 N 95TH ST STE 105 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852584591 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808608488 | ||||||||
| FaxNumber: | 4808608498 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2017 | ||||||||
| LastUpdateDate: | 09/13/2022 | ||||||||
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| AuthorizedOfficialLastName: | ZILTZER | ||||||||
| AuthorizedOfficialFirstName: | VIVIAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO/PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4808608488 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 09/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.