Healthcare Provider Details
I. General information
NPI: 1508943184
Provider Name (Legal Business Name): DANIEL TYLER ZAPTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 04/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 1/2 BEACON ST
CONCORD NH
03301-4447
US
IV. Provider business mailing address
2 1/2 BEACON ST
CONCORD NH
03301-4447
US
V. Phone/Fax
- Phone: 603-228-1521
- Fax: 603-225-2510
- Phone: 603-228-1521
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 26978 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 14907 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: