Basic Information
Provider Information
NPI: 1710948054
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZORN
FirstName: RICHARD
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 720 OLIVE WAY
Address2: SUITE 1505
City: SEATTLE
State: WA
PostalCode: 981011878
CountryCode: US
TelephoneNumber: 2068382590
FaxNumber: 2062648689
Practice Location
Address1: 1229 MADISON ST
Address2: SUITE 1600
City: SEATTLE
State: WA
PostalCode: 981043586
CountryCode: US
TelephoneNumber: 2063862600
FaxNumber: 2066221644
Other Information
ProviderEnumerationDate: 03/28/2006
LastUpdateDate: 01/16/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XMD00014755WAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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