Individual
ANTON VLADIMIR ZARYANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3142 HORIZON RD STE 100, ROCKWALL, TX 75032-7815
(972) 772-9600
(972) 772-9601
Mailing address
3142 HORIZON RD STE 100, ROCKWALL, TX 75032-7815
(972) 772-9600
(972) 772-9601
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
54285
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
5315058385
MI
207XS0117X
Orthopaedic Surgery of the Spine Physician
54285
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
R4350
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370936YL31
MEDICARE PTAN
CO
05
—
85035769
—
CO
Enumeration date
12/08/2011
Last updated
03/02/2022
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