Individual provider · Type 1 NPI

Kossi Mawouli Zotoglo, PA-C

Surgical Physician Assistant · Omaha, NE

NPI number 1891202131 Active

Practice location

4101 Woolworth Ave
Omaha, NE 68105-1850

Mailing address

3254 S 72nd Ave
Omaha, NE 68124-3576

Other practice locations

  • 222 N 192nd St, Elkhorn, NE 68022-5363 · (402) 390-4111

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X090410 (IA)

Surgical Physician Assistant: Definition to come...

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About NPI 1891202131

Kossi Mawouli Zotoglo, PA-C's National Provider Identifier is 1891202131, issued on Jan 9, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Omaha, NE. The record was last updated on Dec 15, 2023.