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General NPI Number Information
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NPI Number | 1083606834
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Entity Type | Individual
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Provider Name | PETER ZONAKIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 625 POLE LINE RD W STE 2B
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City | TWIN FALLS
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State | ID
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Zip | 83301-4270
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Country | US
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Telephone | 208-814-7350
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Fax | 208-732-8508
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Provider Business Mailing Address
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Address Line | 501 AIRPORT RD
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City | RIFLE
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State | CO
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Zip | 81650-8510
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Country | US
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Telephone | 970-625-1100
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Fax | 970-625-0725
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 52045
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4971546
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License Number State | ID
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