Individual
IVAN A ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4011 TALBOT RD S, STE 420, RENTON, WA 98055-5773
(425) 656-5430
Mailing address
3600 LIND AVE SW, STE 100, RENTON, WA 98055-4934
(425) 656-5412
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00016577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1397504
—
WA
Enumeration date
08/14/2006
Last updated
07/08/2007
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