Healthcare Provider Details

I. General information

NPI: 1558321869
Provider Name (Legal Business Name): PAULA ZOOK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 01/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1145 BROADWAY
SEATTLE WA
98122-4201
US

IV. Provider business mailing address

805 MADISON ST STE 701
SEATTLE WA
98104-1172
US

V. Phone/Fax

Practice location:
  • Phone: 206-329-1760
  • Fax:
Mailing address:
  • Phone: 206-707-9299
  • Fax: 206-432-4552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberMD00044977
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: