Individual provider · Type 1 NPI
Thomas Zaiz, PA
Surgical Physician Assistant · Glen Carbon, IL
NPI number
1639223571
Active
Practice location
4804 S State Route 159 Ste 10
Glen Carbon, IL 62034-1904
Fax (618) 205-3569
Mailing address
6810 State Route 162, Box 215
Maryville, IL 62062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 085001534 (IL) |
Surgical Physician Assistant: Definition to come...
2 other providers at this address
Other surgical physician assistant providers in Glen Carbon
About NPI 1639223571
Thomas Zaiz, PA's National Provider Identifier is 1639223571, issued on Jan 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glen Carbon, IL. The record was last updated on Aug 28, 2024.