Provider Demographics
NPI:1487778023
Name:ZAIR, PHILIP J (DC)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:J
Last Name:ZAIR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18185 N 83RD AVE STE D209
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-0516
Mailing Address - Country:US
Mailing Address - Phone:480-347-0337
Mailing Address - Fax:480-347-0338
Practice Address - Street 1:18185 N 83RD AVE STE D209
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-0516
Practice Address - Country:US
Practice Address - Phone:480-347-0337
Practice Address - Fax:480-347-0338
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ449171100000X
AZ7419111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU88258Medicare UPIN
AZZ109095Medicare ID - Type Unspecified