Healthcare Provider Details

I. General information

NPI: 1154458214
Provider Name (Legal Business Name): THOMAS C ZOLEZZI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 N ARGONNE RD STE 100
SPOKANE VALLEY WA
99212-2722
US

IV. Provider business mailing address

920 N ARGONNE RD STE 100
SPOKANE VALLEY WA
99212-2722
US

V. Phone/Fax

Practice location:
  • Phone: 509-893-2277
  • Fax: 509-893-2811
Mailing address:
  • Phone: 509-893-2277
  • Fax: 509-893-2811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00003096
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: