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NPI Code Detail

MEDICARE: GLORIA ZIBILICH MD

MEDICARE: GLORIA ZIBILICH 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
1207Q00000XFamily Medicine PhysicianMD046900PA

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 : 1740221563
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA ZIBILICH MD
Provider Business Mailing Address
First Line : 809 TURNPIKE AVE
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-1232
Country : US
Telephone Number : 814-768-2356
Fax Number : 814-768-2134
Provider Business Practice Location Address
First Line : 1049 N FRONT ST
Second Line :
City : PHILIPSBURG
State : PA
Zip : 16866-8258
Country : US
Telephone Number : 814-342-9701
Fax Number : 814-342-7056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 08/01/2010

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Directions to “ GLORIA ZIBILICH MD” Practice Location

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