Provider Demographics
NPI:1376700823
Name:ZGUTA, AMY AJANS (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:AJANS
Last Name:ZGUTA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:500 N KEENE ST
Mailing Address - Street 2:STE 101
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-8104
Mailing Address - Country:US
Mailing Address - Phone:573-449-3846
Mailing Address - Fax:573-449-3706
Practice Address - Street 1:500 N KEENE ST
Practice Address - Street 2:STE 101
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-8104
Practice Address - Country:US
Practice Address - Phone:573-449-3846
Practice Address - Fax:573-449-3706
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2011-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO20110020282207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology