Ivan A Zamora in Renton - Surgery

Ivan A Zamora - NPI 1720091465

Ivan A Zamora is a Surgery in Renton, Washington. Ivan A Zamora practices all healthcare services and medical treatments related to Surgery. The NPI Number for Ivan A Zamora is 1720091465. The last update date is 2007-07-08.

Ivan A Zamora's current location address is 4011 Talbot Rd S, Renton, Washington. You can contact this provider via phone number 4256565430. The mailing address for Ivan A Zamora is 4011 Talbot Rd S, Renton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Ivan A Zamora
Address 4011 Talbot Rd S, Renton, Washington
Phone Number 4256565430
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1720091465
Provider Enumeration Date 2006-08-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4011 Talbot Rd S
City Renton
State Washington (WA)
Post Code 980555773
Phone Number 4256565430
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No MD00016577
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1397504 WA --

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FAQs about Ivan A Zamora

What is the unique 10-digit identifier code assigned to Ivan A Zamora by the Centers for Medicare & Medicaid Services?

The Ivan A Zamora has been issued the NPI (National Provider Identifier) 1720091465 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Ivan A Zamora's facilities are situated?

The facilities of Ivan A Zamora are physically located at the following address: 4011 Talbot Rd S, Renton, WA, 980555773.

What is the area of specialization for Ivan A Zamora, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Ivan A Zamora is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.

On what date did the Ivan A Zamora receive its 1720091465 assignment from the Centers for Medicare & Medicaid Services?

The Ivan A Zamora was assigned its 1720091465 by the Centers for Medicare & Medicaid Services on 2006-08-14.

As of what date were the details related to Ivan A Zamora most recently updated or revised?

The information pertaining to Ivan A Zamora, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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