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NPI Code Detail

MEDICARE: DR. GARY WILLIAM ZOFFADA DC

MEDICARE:  DR. GARY WILLIAM ZOFFADA  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor22928CA

General Provider Information

NPI Number : 1073675963
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GARY WILLIAM ZOFFADA DC
Provider Business Mailing Address
First Line : 2863 GROVE WAY
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546
Country : US
Telephone Number : 510-886-8615
Fax Number : 510-886-0885
Provider Business Practice Location Address
First Line : 2863 GROVE WAY
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546
Country : US
Telephone Number : 510-886-8615
Fax Number : 510-886-0885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 07/08/2007

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Directions to “ DR. GARY WILLIAM ZOFFADA DC” Practice Location

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