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Individual

EUGENE P ZANOLLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
750 W 800 N, ER DEPARTMENT, OREM, UT 84057
(801) 714-6570
Mailing address
PO BOX 1747, OREM, UT 84059-1747
(866) 898-7136
(616) 975-9827

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
164ZZZ1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06226
UT
01
107006395104
SELECT HEALTH
UT
01
313376
DESERET MUTUAL
UT
01
81793
PEHP
UT
01
P00189727
RR MEDICARE
Enumeration date
06/03/2006
Last updated
05/16/2008
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