Provider Demographics
NPI:1245268051
Name:ZABEL, DWIGHT PATRICK (MD)
Entity type:Individual
Prefix:
First Name:DWIGHT
Middle Name:PATRICK
Last Name:ZABEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:101 SKAGGS RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-2075
Mailing Address - Country:US
Mailing Address - Phone:417-334-8288
Mailing Address - Fax:417-334-6966
Practice Address - Street 1:101 SKAGGS RD
Practice Address - Street 2:SUITE 302
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-2075
Practice Address - Country:US
Practice Address - Phone:417-334-8288
Practice Address - Fax:417-334-6966
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2006015939207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO210397OtherBLUE CROSS MISSOURI
MOP00346896OtherRAILROAD MEDICARE
H23263Medicare UPIN
AR5N813Medicare PIN