Dr. Mark J Zalla
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
7766 Ewing Blvd Ste 100
Florence
, Kentucky 41042-7538
Dr. Mark J Zalla
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
7766 Ewing Blvd Ste 100
Florence
, Kentucky 41042-7538
(859) 283-1066
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Mark J Zalla
- 7766 Ewing Blvd Ste 100
- Florence, KY
- Zip : 41042-7538
- Fax : (859) 283-1066
- Phone : (859) 283-1033
Second Address
- Dr. Mark J Zalla
- 7766 Ewing Blvd Ste 100
- Florence, KY
- Zip : 41042-7538
- Fax : (859) 283-1066
- Phone : (859) 283-1033
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 35119 | KY |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 35119 | KY |
| N | 207NS0135X | Procedural Dermatology | K35119 | KY |
National Provider Identifier
| NPI | 1356460018 |
|---|---|
| Provider Name | Dr. Mark J Zalla |
| First Address | Florence, KY 41042-7538 |
| Second Address | Florence, KY 41042-7538 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 04/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000223589 | ANTHEM ID (01) | KY |
| 03-20159 | UNITED HEALTHCARE ID (01) | |
| 2815155 | AETNA ID (01) | |
| F29005 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.