Provider Demographics
NPI:1770885212
Name:ZVONAR, NOEL (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:NOEL
Middle Name:
Last Name:ZVONAR
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 OLD SHELL RD STE D
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-2046
Mailing Address - Country:US
Mailing Address - Phone:251-343-9100
Mailing Address - Fax:251-343-9125
Practice Address - Street 1:4310 OLD SHELL RD STE D
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-2046
Practice Address - Country:US
Practice Address - Phone:251-343-9100
Practice Address - Fax:251-343-9125
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA735363AM0700X
ALPA-735363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical