Individual
CRAIG M ZART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6010
(937) 395-8162
Mailing address
2110 LEITER RD, MIAMISBURG, OH 45342-3598
(937) 384-4841
(937) 522-7626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003651
OH
363AS0400X
Surgical Physician Assistant
Primary
50.003651
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085260
—
OH
Enumeration date
10/11/2012
Last updated
11/12/2020
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