Michael Zicarelli, PA-C Valid NPI
Individual provider · Physician Assistant · Mountain Brk, AL
- NPI
- 1366106627
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 1873 (AL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-10-23
- Last updated
- 2021-10-23
Practice location
4 Norman Dr
Mountain Brk, AL 35213-4310
(205) 515-5657