Individual provider · Type 1 NPI

Mary-Colleen D. Zucconi, P.A.

Surgical Physician Assistant · Vancouver, WA

NPI number 1194969717 Active

Practice location

200 NE Mother Joseph Pl Ste 110
Vancouver, WA 98664

Call (360) 254-6161 Map

Fax (360) 449-1146

Mailing address

200 NE Mother Joseph Pl Ste 210
Vancouver, WA 98664-3295

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA152984 (OR)
Surgical Physician Assistant Primary 363AS0400XPA60404649 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1194969717

Mary-Colleen D. Zucconi, P.A.'s National Provider Identifier is 1194969717, issued on Apr 27, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Vancouver, WA. The record was last updated on Aug 7, 2018.