Healthcare Provider Details

I. General information

NPI: 1326242041
Provider Name (Legal Business Name): JEFFREY S ZOLLINGER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4838 SPARKS BLVD STE 102
SPARKS NV
89436-8156
US

IV. Provider business mailing address

4838 SPARKS BLVD STE 102
SPARKS NV
89436-8156
US

V. Phone/Fax

Practice location:
  • Phone: 775-870-1480
  • Fax: 877-764-6351
Mailing address:
  • Phone: 775-870-1480
  • Fax: 877-764-6351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberDO1624
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number1624
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: