Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 24938 | CA |
NPI | 1174685267 |
---|---|
Provider Name | Dr. Robert Anthony Ziegler |
First Address | Berkeley, CA 94704-1569 |
Second Address | Berkeley, CA 94704-1569 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 19/09/2018 |