DR. Zachary D. Van Wagoner, M.D.

NPI #1346549912 in Payson, Utah

Provider Information

NPI Number: 1346549912
Entity Type: Individual
Name: DR. Zachary D. Van Wagoner, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: M.D.
Enumeration Date: Mar 22, 2011
Last Updated: Mar 14, 2017

Practice Location

Address: 1000 E 15 S
Address 2: STE 350
City: Payson
State: Utah
ZIP Code: 84651-3246
Phone: (801) 465-5602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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