Individual
ZANE P LAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
418 GRAND PARK DR, SUITE 315, PARKERSBURG, WV 26105-4000
(304) 428-3500
(304) 422-7900
Mailing address
418 GRAND PARK DR, SUITE 315, PARKERSBURG, WV 26105-4000
(304) 428-3500
(304) 422-7900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35076219
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000747730
MOUNTAIN STATE BLUE CROSS
—
05
—
10813000
—
WV
05
—
2172081
—
OH
01
—
31134604300
BRICKSTREET W/C
—
01
—
449568
HIGHMARK BLUE CROSS
—
01
—
5138752
AETNA
—
01
—
5941763002
CIGNA
—
Enumeration date
03/14/2006
Last updated
05/01/2024
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