| Mr Kenneth A Zollo, MD | |
|
1675 N Freedom Blvd, Bldg 3, Provo, UT 84604-2540 | |
| (801) 377-8000 | |
| (801) 377-8001 |
| Full Name | Mr Kenneth A Zollo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1675 N Freedom Blvd, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770545931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 3227931205 (Utah) | Primary |
| 208000000X | Pediatrics | 3227938905 (Utah) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth A Zollo, MD 1675 N Freedom Blvd, Bldg 3, Provo, UT 84604-2540 Ph: (801) 377-8000 | Mr Kenneth A Zollo, MD 1675 N Freedom Blvd, Bldg 3, Provo, UT 84604-2540 Ph: (801) 377-8000 |
Dr. Joshua Darrell Fuller, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd Ste 3, Provo, UT 84604 Phone: 801-377-8000 | |
Jordan Gaudio, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-1700 | |
Danielle Elise Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-8411 | |
Dr. Chuanchau Jerry Jou, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604 Phone: 385-477-6800 Fax: 385-477-6801 | |
Leslie Mark Lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7707 | |
Bradley Wayne Anderson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1355 N University Ave, #210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811 | |
Dr. Matthew Joseph Clayton, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1675 N Freedom Blvd, Ste 9c, Provo, UT 84604 Phone: 801-377-4800 Fax: 801-377-4041 |