Provider Demographics
NPI:1780713040
Name:SABER, ZACHARY MARULLI (LMP)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:MARULLI
Last Name:SABER
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3861 N 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1301
Mailing Address - Country:US
Mailing Address - Phone:520-209-1755
Mailing Address - Fax:520-798-2468
Practice Address - Street 1:3861 N 1ST AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-1301
Practice Address - Country:US
Practice Address - Phone:520-209-1755
Practice Address - Fax:520-798-2468
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-13970174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist