Anthony Zoffuto

Organization Active NPI Specialist · Cape Girardeau, MO

NPI 1700967429 · NPPES record last updated Dec 12, 2007

Key facts

NPI
1700967429
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
R4523 (MO)
Legal business name
ANTHONY ZOFFUTO
Practice address
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone
(573) 331-5330
NPI assigned
Oct 18, 2006
Organization subpart
No

Authorized official

Name
Julie Whitesides
Title
Account Manager
Phone
(800) 540-6575

National Provider Directory

Locations

937 Broadway St
Ste 201
Cpe Girardeau, MO 63701
Phone (573) 334-7194

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X R4523 MO Yes

Addresses

Primary practice location

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049

Mailing address

PO Box 1286
Columbia, MO 65205-1286
Phone (800) 540-6575

Other identifiers

IdentifierTypeStateIssuer
CK6400OtherRAILROAD MEDICARE

Other providers in Cape Girardeau, MO

All providers in Cape Girardeau, MO · Specialist in Missouri

Sources for this page

Verify at the official NPI Registry.