Organization
GERARD ZANOLLI MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD M. ZANOLLI M.D. (OWNER)
(206) 938-4200
Entity
Organization
Contact information
Practice address
5236 CALIFORNIA AVE SW, SUITE B, SEATTLE, WA 98136-1244
(206) 938-4200
Mailing address
5236 CALIFORNIA AVE SW, SUITE B, SEATTLE, WA 98136-1244
(206) 938-4200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00034812
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD00034812
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101450
—
WA
Enumeration date
03/21/2007
Last updated
09/21/2011
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