MEDICARE: DR. RODNEY A ZOROTOVICH MD

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
1	207L00000X	Anesthesiology Physician	MD 00014594	WA

General Provider Information

NPI Number	:	1366888182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODNEY A ZOROTOVICH MD

Provider Business Mailing Address
First Line	:	PO BOX 19620
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-6620
Country	:	US
Telephone Number	:	206-283-0280
Fax Number	:

Provider Business Practice Location Address
First Line	:	5004 E MERCER WAY
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-4740
Country	:	US
Telephone Number	:	206-283-0280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2013
Last Update Date	:	05/20/2013

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