Healthcare Provider Details

I. General information

NPI: 1528124625
Provider Name (Legal Business Name): JAMES E ZINI DO PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2006
Last Update Date: 10/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1816 EAST MAIN STREET
MOUNTAIN VIEW AR
72560-6171
US

IV. Provider business mailing address

PO BOX 1160 1816 EAST MAIN STREET
MOUNTAIN VIEW AR
72560-6171
US

V. Phone/Fax

Practice location:
  • Phone: 870-269-3838
  • Fax: 870-269-2310
Mailing address:
  • Phone: 870-269-3838
  • Fax: 870-269-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC5335
License Number StateAR

VIII. Authorized Official

Name: MRS. JUDY A ZINI
Title or Position: OFF MGR CO OWNER
Credential:
Phone: 870-269-3838