Healthcare Provider Details

I. General information

NPI: 1295294478
Provider Name (Legal Business Name): ADRIANA ZAMORA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 08/05/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BUILDING 550 SPANGDAHLEM AB, GERMANY
APO AE
09123-0050
US

IV. Provider business mailing address

BUILDING 550 SPANGDAHLEM AB
APO AE
09123-0050
US

V. Phone/Fax

Practice location:
  • Phone: 314-452-8333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101270401
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101270401
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: