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Individual

EDWARD J ZAJAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5885 SUNNYBROOK DR, SUITE L-200, SIOUX CITY, IA 51106-4203
(712) 239-4702
(712) 224-5898
Mailing address
PO BOX 3128, SIOUX CITY, IA 51102-3128
(712) 239-4702
(712) 224-5898

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
32426
IA
207RI0011X
Interventional Cardiology Physician
20824
NE
207RI0011X
Interventional Cardiology Physician
Primary
32426
IA
207RI0011X
Interventional Cardiology Physician
4455
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0172254
IA
Enumeration date
02/16/2006
Last updated
10/15/2015
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