MAVERICK CHARLES ZIETLOW

QUEEN CREEK, AZ
NPI1912735879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-07-23
Last Update Date2024-07-23
Business Address
MAVERICK CHARLES ZIETLOW PA-C
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142-7709
Phone number: 480-512-3700
Mailing Address
MAVERICK CHARLES ZIETLOW PA-C
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142-7709
Phone number: