Individual
ZEBEDEE MOULTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 HILBISH AVE, AKRON, OH 44312-2251
(330) 328-3240
Mailing address
540 HILBISH AVE, AKRON, OH 44312-2251
(330) 328-3240
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7718964
—
OH
Enumeration date
12/30/2020
Last updated
12/30/2020
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