Individual
BRIAN JOSEPH ZEITHAML
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 NE 87TH AVE STE 301, VANCOUVER, WA 98664-1965
(360) 514-1854
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2017-00874
NC
208600000X
Surgery Physician
Primary
MD60848138
WA
2086S0102X
Surgical Critical Care Physician
MD60848138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366738312
—
NC
01
—
19R6U
BCBS OF NC
NC
01
—
NCY144A
MEDICARE
NC
Enumeration date
06/28/2011
Last updated
09/20/2018
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