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Individual

DR. GENE WAYNE ZDENEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7012 RESEDA BLVD, SUITE B, RESEDA, CA 91335-4219
(818) 708-2222
Mailing address
7012 RESEDA BLVD, SUITE B, RESEDA, CA 91335-4219
(818) 708-2222

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C39161
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C391610
CA
Enumeration date
12/29/2006
Last updated
04/18/2011
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