Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101008707 | MI |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | AA2384 | AK |
NPI | 1891894606 |
---|---|
Provider Name | Dr. James Victor Zirul |
First Address | Kenai, AK 99611-6880 |
Second Address | Kenai, AK 99611-6880 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 04/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DO2384 | (05) | AK |
E85314 | (02) | AK |