Basic Information
| Provider Information | |||||||||
| NPI: | 1689694085 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZALESKI | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | SAVID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 352 | ||||||||
| Address2: | BARKSDALE AFB, LA | ||||||||
| City: | BOSSIER CITY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 71110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135504942 | ||||||||
| FaxNumber: | 3184568065 | ||||||||
| Practice Location | |||||||||
| Address1: | 243 CURTISS LN | ||||||||
| Address2: | BARKSDALE AFB, LA, SUITE 100 | ||||||||
| City: | BOSSIER CITY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 71110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184564318 | ||||||||
| FaxNumber: | 3184564318 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | H2026 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.