Doctor Name: | DARRELL ZIROLI |
NPI Number: | 1174674907 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PA60 |
Business Practice Address: | 695 Powers Cir Mount Olive, AL - 351173243 |
Business Phone Number: | 2056315657 |
Business Fax Number: | |
Mailing Address: | 695 Powers Cir, MOUNT OLIVE |
State: | AL |
Postal Code: | 351173243 |
Phone Number: | 2056315657 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 02/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA60 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |