NPI | 1629372503 |
---|---|
Doing Business As | WILLIAM S. ZILLWEGER, MD M.R.O. |
Entity Type | Organization |
Authorized Contact | KENNY HEINE VP Of Operations 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD054995L) |
Enumeration Date | 2011-01-06 |
Last Update Date | 2013-04-30 |