Organization
PAUL A. ZAVERUHA, MD PS, INC
Active
Other names
Paul A. Zaveruha, MD PS, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A ZAVERUHA MD (OWNER)
(360) 678-6433
Entity
Organization
Contact information
Practice address
101 NE BIRCH STREET, COUPEVILLE, WA 98239
(360) 678-6433
(360) 678-6812
Mailing address
PO BOX 1080, 101 NE BIRCH ST, COUPEVILLE, WA 98239-1080
(360) 678-6433
(360) 678-6812
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
601799900
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
378259003
GROUP HEALTH ID NUMBER
WA
05
—
7088347
—
WA
01
—
911826264 98239 A001
TRICARE
—
01
—
911826264 SU5491
REGENCE BLUESHIELD
WA
Enumeration date
07/20/2006
Last updated
04/04/2010
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