Individual
SUSAN CAROL ZWIASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2012 S PROMENADE BLVD, ROGERS, AR 72758-9073
(479) 616-1485
(479) 239-0536
Mailing address
2012 S PROMENADE BLVD, ROGERS, AR 72758-9073
(479) 616-1485
(479) 239-0536
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA1941
NV
363AM0700X
Medical Physician Assistant
Primary
PT2020-003
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019178
—
LA
Enumeration date
09/12/2007
Last updated
01/22/2020
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