MEDICARE: DR. DEVON ZOLLER

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	207R00000X	Internal Medicine Physician	35.098954	OH

General Provider Information

NPI Number	:	1417185778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVON ZOLLER

Provider Business Mailing Address
First Line	:	5595 TRANSPORTATION BLVD STE 220
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-5359
Country	:	US
Telephone Number	:	216-587-5431
Fax Number	:

Provider Business Practice Location Address
First Line	:	5595 TRANSPORTATION BLVD STE 220
Second Line	:
City	:	GARFIELD HEIGHTS
State	:	OH
Zip	:	44125-5359
Country	:	US
Telephone Number	:	216-536-6614
Fax Number	:

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

Provider Enumeration Date	:	06/25/2009
Last Update Date	:	04/14/2023

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Directions to “ DR. DEVON ZOLLER ” Practice Location

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