Organization
ZIVA MEDICAL PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHURTZ (CEO)
(573) 570-3555
Entity
Organization
Contact information
Practice address
515 E PROMENADE ST STE 1, MEXICO, MO 65265-2966
(573) 570-3520
Mailing address
PO BOX 197, LAKEWOOD, NJ 08701-0197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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