Individual
ZACHARY DANIEL ZANOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 RENAISSANCE BLVD, EDMOND, OK 73013-3023
(405) 359-2400
(405) 948-6507
Mailing address
608 NW 9TH ST STE 6210, OKLAHOMA CITY, OK 73102-1069
(405) 272-9641
(405) 235-0738
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22842
OK
207L00000X
Anesthesiology Physician
40797
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200087760A
—
OK
01
—
731451967001
BCBS GRP BILLING #
—
Enumeration date
07/04/2006
Last updated
10/17/2023
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