Individual
MR. TERRY L ZANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 S. WHEELING AVE., SUITE 800, TULSA, OK 74104
(918) 747-9641
(918) 749-7806
Mailing address
2000 S. WHEELING AVE., SUITE 800, TULSA, OK 74104
(918) 747-9641
(918) 749-7806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10433
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0545040
AETNA
OK
01
—
3210529
CIGNA
OK
01
—
73-0792126-005
BCBS
OK
Enumeration date
10/13/2006
Last updated
05/30/2008
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