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NPI Code Detail

MEDICARE: DARRELL ZIROLI

MEDICARE:   DARRELL  ZIROLI
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
1363AM0700XMedical Physician AssistantPA60AL

General Provider Information

NPI Number : 1174674907
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARRELL ZIROLI
Provider Business Mailing Address
First Line : 695 POWERS CIR
Second Line :
City : MOUNT OLIVE
State : AL
Zip : 35117-3243
Country : US
Telephone Number : 205-631-5657
Fax Number :
Provider Business Practice Location Address
First Line : 695 POWERS CIR
Second Line :
City : MOUNT OLIVE
State : AL
Zip : 35117-3243
Country : US
Telephone Number : 205-631-5657
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 02/21/2008

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Directions to “ DARRELL ZIROLI ” Practice Location

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