Provider Demographics
NPI:1891894606
Name:ZIRUL, JAMES VICTOR (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:VICTOR
Last Name:ZIRUL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 SPUR VIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-6880
Mailing Address - Country:US
Mailing Address - Phone:907-283-5400
Mailing Address - Fax:907-283-6443
Practice Address - Street 1:220 SPUR VIEW DRIVE
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-6880
Practice Address - Country:US
Practice Address - Phone:907-283-5400
Practice Address - Fax:907-283-6443
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA2384207YX0905X
MI5101008707207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKDO2384Medicaid
AKDO2384Medicaid
AKE85314Medicare UPIN