Provider Demographics
NPI:1689694085
Name:ZALESKI, SCOTT SAVID (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:SAVID
Last Name:ZALESKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:BARKSDALE AFB, LA
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71110
Mailing Address - Country:US
Mailing Address - Phone:713-550-4942
Mailing Address - Fax:318-456-8065
Practice Address - Street 1:243 CURTISS LN
Practice Address - Street 2:BARKSDALE AFB, LA, SUITE 100
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71110
Practice Address - Country:US
Practice Address - Phone:318-456-4318
Practice Address - Fax:318-456-4318
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2026207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine