Individual
ALI S ZAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 W MEMORIAL RD, SUITE 303, OKLAHOMA CITY, OK 73120-9350
(405) 936-9966
(405) 756-3341
Mailing address
4200 W MEMORIAL RD, SUITE 303, OKLAHOMA CITY, OK 73120-9350
(405) 936-9966
(405) 756-3341
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20964
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061900A
—
OK
Enumeration date
01/13/2006
Last updated
04/15/2009
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