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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARY SUSAN ZICKEFOOSE, M.D.

Active Sole Proprietor

DR. MARY SUSAN ZICKEFOOSE, M.D. is a Family Medicine healthcare provider located in CANON CITY, Colorado. NPI 1972647147 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CANON CITY, CO

Registration Details

NPI Number
1972647147
Provider Type
Individual
Gender
Female
NPI Issued
Feb 19, 2007 (19.489459409819 yrs)
Last Updated
Sep 5, 2013
License
41337 (CO)
Sole Proprietor
Yes

Practice Information

Address
571 TAYLOR TRL
CANON CITY, CO, 812123600
Browse CO providers · Browse ZIP 81212
Phone
7192756200
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CANON CITY, CO

Name Credential NPI
DR. MARCUS A BUTTON M.D. 1316943236
DR. ROBERT D MCCURRY D.O. 1285634121
DARVIN RITCHIE MD 1457349672
WILLIAM SHAUN GOGARTY M.D. 1871576694
MARC A SINDLER MD 1417925926
DR. GARY ALAN MOHR M.D. 1659481836
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.