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Individual
SCOTT A ZOLLMAN
Active
Individual
SCOTT A ZOLLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05416
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159376
—
IA
01
—
07411
WELLMARK BCBS
IA
01
—
1437370350
NPI FOR CLINIC
IA
01
—
16D0929683
CLIA CERTIFICATE NUMBER
IA
Enumeration date
09/13/2005
Last updated
05/03/2012
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