Brian J. Zeithaml M.D.
Surgery Physician in Vancouver, WA(View on Map)
Full Name
Brian Joseph Zeithaml M.D.
NPI Number
1366738312
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/28/2011
Specialties
(Taxonomies)Code
208600000X
2086S0102X
Primary Taxonomy
Yes
No
Licenses
State
North Carolina
Washington
License Number
2017-00874
MD60848138
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 751069
505 NE 87TH AVE STE 301
City
Charlotte
Vancouver
State
NC
WA
Postal Code
28275-1069
98664-1965
Country
US
US
Telephone Number
N/A
(360) 514-1854
Identifiers
Identifier
19R6U
NCY144A
1366738312
Identifier State
NC
NC
NC
Identifier Issuer
BCBS OF NC
MEDICARE
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/20/2018
Provider Address
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