Individual
ZACHARY GAVIN TANENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-8277
(319) 356-4547
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-8277
(319) 356-4547
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R-12211
IA
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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