MEDICARE: THOMAS M ZURKOWSKI

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2084P0015X	Psychosomatic Medicine Physician
2	2084P0802X	Addiction Psychiatry Physician
3	2084P0804X	Child & Adolescent Psychiatry Physician
4	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician
5	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician
6	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1285822205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS M ZURKOWSKI

Provider Business Mailing Address
First Line	:	2501 HARRISON ST
Second Line	:
City	:	BATESVILLE
State	:	AR
Zip	:	72501-7424
Country	:	US
Telephone Number	:	870-256-3111
Fax Number	:	870-856-2214

Provider Business Practice Location Address
First Line	:	2501 HARRISON ST
Second Line	:
City	:	BATESVILLE
State	:	AR
Zip	:	72501-7424
Country	:	US
Telephone Number	:	870-856-3111
Fax Number	:	870-856-2214

Authorized Official
Title or Position	:	OWNER
Name	:	MR. THOMAS MARK ZURKOWSKI
Credential	:	M.D.
Telephone Number	:	870-856-3111

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/04/2007

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Directions to “THOMAS M ZURKOWSKI ” Practice Location

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