| Doctor Name: | DR. THERESA ANN ZUMWALT |
| NPI Number: | 1053335315 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD FACOG |
| License Number: | G54501 |
| Business Practice Address: | 14991 Sunrise Drive Ne Bainbridge Island, WA - 98110 |
| Business Phone Number: | 2068425999 |
| Business Fax Number: | 2067807788 |
| Mailing Address: | 10355 Ne Valley Rd #4716, ROLLINGBAY |
| State: | WA |
| Postal Code: | 980610716 |
| Phone Number: | 2068425999 |
| Fax Number: | 2067807788 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 02/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | G54501 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |