Individual
THOMAS ZAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4804 S STATE ROUTE 159 STE 10, GLEN CARBON, IL 62034-1904
(618) 391-5080
(618) 205-3569
Mailing address
6810 STATE ROUTE 162, BOX 215, MARYVILLE, IL 62062
(618) 391-6495
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085001534
IL
Other
Enumeration date
01/22/2007
Last updated
08/28/2024
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