MR. Zachary Wajvoda, PA-C
NPI #1669897849 in Beale Afb, California
Provider Information
- NPI Number
- 1669897849
- Entity Type
- Individual
- Name
- MR. Zachary Wajvoda, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 25, 2014
- Last Updated
- Jan 3, 2022
Practice Location
- Address
- 15301 WARREN SHINGLE RD
- City
- Beale Afb
- State
- California
- ZIP Code
- 95903-1905
- Phone
- (219) 798-0474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant |
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