Individual
DR. BLAZEJ ZBYTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
260 SHOPPINGWAY BLVD, WEST MEMPHIS, AR 72301-1734
(870) 394-4906
Mailing address
260 SHOPPINGWAY BLVD, WEST MEMPHIS, AR 72301-1734
(870) 394-4906
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
080649
GA
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
E-12221
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD45415
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2007
Last updated
06/02/2020
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