MEDICARE: TONI ANNETTE ZELTNER R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247100000X	Radiologic Technologist	RT3844	AR

General Provider Information

NPI Number	:	1679505150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONI ANNETTE ZELTNER R

Provider Business Mailing Address
First Line	:	507 CRAIN DR
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-4996
Country	:	US
Telephone Number	:	501-278-4869
Fax Number	:

Provider Business Practice Location Address
First Line	:	2019 E RACE AVE
Second Line	:
City	:	SEARCY
State	:	AR
Zip	:	72143-4725
Country	:	US
Telephone Number	:	501-368-0657
Fax Number	:	501-368-0658

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

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