Organization
D.M.C. HOSPITALIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT ZUMWALT (CEO)
(410) 429-6115
Entity
Organization
Contact information
Practice address
117 E 19TH ST, ROSWELL, NM 88201-5151
(856) 858-6650
Mailing address
1765 E NINE MILE RD STE 1-229, PENSACOLA, FL 32514-5479
(410) 429-6115
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03072339
—
NM
Enumeration date
08/04/2008
Last updated
02/21/2020
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