DR. Mary Susan Zickefoose, M.D.
NPI #1972647147 in Canon City, Colorado
Provider Information
- NPI Number
- 1972647147
- Entity Type
- Individual
- Name
- DR. Mary Susan Zickefoose, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Feb 19, 2007
- Last Updated
- Sep 5, 2013
Practice Location
- Address
- 571 TAYLOR TRL
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-3600
- Phone
- (719) 275-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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