Organization
JOSEPH J ZAYDON JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY JEAN BECK (OFFICE MANAGER)
(270) 843-1100
Entity
Organization
Contact information
Practice address
720 2ND STREET, STE 302, BOWLING GREEN, KY 42101
(270) 843-1100
(270) 843-1113
Mailing address
PO BOX 9901, BOWLING GREEN, KY 42102-4901
(270) 843-1100
(270) 843-1113
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
22553
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000043324
BCBS
KY
05
—
64225535
—
KY
Enumeration date
08/31/2006
Last updated
12/19/2007
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