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Andrew Zavala, IDMT
NPI 1164656088 · on the registry since 2009
Practice
- Address
- 310 W Losey St
375th Mdg/Sgopg
Scott Afb, IL 62225 - Phone
- (618) 256-7129
- Organisation at this address
- Dfas-Jfll/In
375th Medgrp-Scott
375th Medgrp-Scott
375th Medgrp-Scott
United States Air ForceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Registry record
- Primary taxonomy
- 1710I1003X
1710I1003X
- Sex
- Male
- Record last updated
- 2009-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois