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Individual

DR. RODERICK PAUL ZICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2807 N FRONT ST, HARRISBURG, PA 17110-1222
(717) 233-4691
(717) 233-8836
Mailing address
100 N ACADEMY AVE STE 205, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD458502
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6900828
VA
Enumeration date
10/25/2006
Last updated
08/31/2020
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