Individual
BROCK J ZANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
341 S 33RD ST, MUSKOGEE, OK 74401-5037
(918) 683-1831
(918) 687-7043
Mailing address
913 W GRANGER ST, BROKEN ARROW, OK 74012-8461
(918) 637-1481
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
203733
OK
363LA2100X
Acute Care Nurse Practitioner
Primary
203733
OK
Other
Enumeration date
02/05/2025
Last updated
04/27/2026
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