Healthcare Provider Details

I. General information

NPI: 1407006240
Provider Name (Legal Business Name): EMILY S ZOULEK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 DUFF AVE
AMES IA
50010-5733
US

IV. Provider business mailing address

1215 DUFF AVE
AMES IA
50010-5469
US

V. Phone/Fax

Practice location:
  • Phone: 515-239-4414
  • Fax: 515-239-4786
Mailing address:
  • Phone: 515-239-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number05606
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: