Healthcare Provider Details

I. General information

NPI: 1053955609
Provider Name (Legal Business Name): CHRISTOPHER ZARTMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2019
Last Update Date: 11/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAMP FOSTER, OKINAWA JAPAN
FPO AP
96379-0005
US

IV. Provider business mailing address

PSC 557 BOX 435
FPO AP
96379-0005
US

V. Phone/Fax

Practice location:
  • Phone: 385-314-0424
  • Fax:
Mailing address:
  • Phone: 385-314-0424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1710I1002X
TaxonomyIndependent Duty Corpsman
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: