Individual
DAVID A ZIDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW-S
Contact information
Practice address
7750 PARK CREEK DR, NE, DAYTON, OH 45459-5165
(330) 651-5253
(330) 772-0472
Mailing address
7750 PARK CREEK DR, NE, DAYTON, OH 45459-5165
(330) 651-5253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I.0008005
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000386573
ATHEM HEALTH CARE
OH
Enumeration date
01/17/2007
Last updated
01/04/2017
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