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NPI Code Detail

MEDICARE: DAWN ZITMAN M.D.

MEDICARE: DAWN ZITMAN M.D.
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
1208000000XPediatrics Physician15761RLA

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 : 1720078603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN ZITMAN M.D.
Provider Business Mailing Address
First Line : 1937 S BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4632
Country : US
Telephone Number : 225-765-5500
Fax Number : 225-644-9286
Provider Business Practice Location Address
First Line : 1937 S BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4632
Country : US
Telephone Number : 225-765-5500
Fax Number : 225-644-9286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 05/21/2021

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