Individual
STACY E ZICKL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
590 COURT ST, DHC - ORTHOPAEDICS, KEENE, NH 03431-1719
(603) 354-5482
(603) 354-5483
Mailing address
590 COURT ST, DHC - ORTHOPAEDICS, KEENE, NH 03431-1719
(603) 354-5482
(603) 354-5483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1025
NH
Other
Enumeration date
05/21/2014
Last updated
08/11/2021
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