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1912735879
MAVERICK CHARLES ZIETLOW
QUEEN CREEK, AZ
NPI
1912735879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-07-23
Last Update Date
2024-07-23
Business Address
MAVERICK CHARLES ZIETLOW PA-C
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142-7709
Phone number: 480-512-3700
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Mailing Address
MAVERICK CHARLES ZIETLOW PA-C
21772 S ELLSWORTH LOOP RD
QUEEN CREEK, AZ 85142-7709
Phone number:
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