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Individual

DR. THERESA ANN ZUMWALT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD FACOG

Contact information

Practice address
14991 SUNRISE DRIVE NE, BAINBRIDGE ISLAND, WA 98110
(206) 842-5999
(206) 780-7788
Mailing address
10355 NE VALLEY RD #4716, ROLLINGBAY, WA 98061-0716
(206) 842-5999
(206) 780-7788

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
G54501
CA
207VG0400X
Gynecology Physician
Primary
MD00036846
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8236663
WA
Enumeration date
07/27/2006
Last updated
02/05/2013
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