Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101249026 | VA |
Y | 207X00000X | Orthopaedic Surgeon | 2011-00161 | NC |
N | 207XS0117X | Orthopaedic Spine Surgeon | 0101249026 | VA |
NPI | 1114131786 |
---|---|
Provider Name | Dr. Jason David Zook |
First Address | Morganton, NC 28655-5104 |
Second Address | Morganton, NC 28655-5104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 12/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200951080 | (05) | IN |