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NPI Code Detail

MEDICARE: THOMAS ZDON

MEDICARE: THOMAS ZDON
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
1106S00000XBehavior TechnicianRBT-21-192089

General Provider Information

NPI Number : 1811640709
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS ZDON
Provider Business Mailing Address
First Line : 12846 MORNING BREEZE WAY
Second Line :
City : PEYTON
State : CO
Zip : 80831-4606
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1127 S RANCHO DR STE 170
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2216
Country : US
Telephone Number : 888-611-0870
Fax Number : 888-714-4996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2022
Last Update Date : 01/31/2022

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Directions to “ THOMAS ZDON ” Practice Location

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