Theodora Vanderzalm MD

NPI 1962592535 - Radiology - 2085P0229X

NPI Details
NPI 1962592535
Gender Female
Enumeration Date 10/13/2006
Last Updated 07/31/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
800 MARSHALL ST # 653
LITTLE ROCK AR, 72202-3510, US
Phone (501) 364-1100
Fax
Business Location
800 MARSHALL ST # 653
LITTLE ROCK AR, 72202-3510, US
Phone (501) 364-1100
Fax
Toxanomy
Taxonomy Code 2085P0229X
License State Arkansas
License Number R-4286
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According to our database, Theodora Vanderzalm MD NPI is 1962592535, taxonomy code is 2085P0229X and license number is R-4286, license state is located at Arkansas. Theodora Vanderzalm MD physically located at 800 Marshall St # 653, Little Rock AR, 72202-3510. NPI Number Theodora Vanderzalm MD has the Individual type.

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1962592535 NPI number is provided on an as is basis without warranty of any kind. 1962592535 is maintained by the National Plan & Provider Enumeration System. The contents of Theodora Vanderzalm MD are for informational purposes only.