Individual
THERESA GERTRUDE ZOGAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
414 G ST STE 120, MARYSVILLE, CA 95901-5670
(530) 749-4304
Mailing address
2351 SUNSET BLVD STE 170-158, ROCKLIN, CA 95765-4338
(916) 747-5448
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A82403
CA
2086X0206X
Surgical Oncology Physician
Primary
M2510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177240201
—
TX
Enumeration date
04/11/2006
Last updated
01/24/2023
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