Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A98554 | CA |
NPI | 1003087206 |
---|---|
Provider Name | Mr. Bradley William Zerweck |
First Address | Walnut Creek, CA 94598 |
Second Address | Walnut Creek, CA 94598 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2008 |
Last Update Date | 06/05/2014 |