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NPI Code Detail

MEDICARE: GEORGE J. ZIBILICH JR.

MEDICARE: GEORGE J. ZIBILICH JR.
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
1207P00000XEmergency Medicine PhysicianC37382CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205898921
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE J. ZIBILICH JR.
Provider Business Mailing Address
First Line : 1930 HENDERSON ST
Second Line :
City : EUREKA
State : CA
Zip : 95501-3124
Country : US
Telephone Number : 707-616-8877
Fax Number :
Provider Business Practice Location Address
First Line : 3800 JANES RD
Second Line :
City : ARCATA
State : CA
Zip : 95521-4742
Country : US
Telephone Number : 707-464-6372
Fax Number : 707-464-9593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 06/15/2016

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Directions to “ GEORGE J. ZIBILICH JR. ” Practice Location

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