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DR. MARSHALL W ZAMORA O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1578565537

Individual Registrant:
DR. MARSHALL W ZAMORA O.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
210 W MAIN CROSS ST  EDINBURGH, IN 46124-1390 US
Tel: 812-526-2020  Fax: --

Contact information for business:
PO BOX 576  VERNON, IN 47282-0576 US
Tel: 812-521-2002  Fax: --

Registration Information:
NPI: 1578565537
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
INP00107057

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
200453530IN05
ANTHEM000000308885IN01




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