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Individual

DR. JAMES A ZALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7766 EWING BLVD, STE 100, FLORENCE, KY 41042-7538
(859) 283-1033
(859) 283-1066
Mailing address
7766 EWING BLVD, STE 100, FLORENCE, KY 41042-7538
(859) 283-1033
(859) 283-1066

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13966
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000047485
ANTHEM ID
01
03-20159
UNITED HEALTHCARE ID
01
0647186
AETNA ID
01
18D0324336
CLIA CERTIFICATE ID
01
3235383
AETNA PATHOLOGY ID
Enumeration date
03/28/2007
Last updated
09/13/2016
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