John Zachary, PA

NPI #1871580829 in Provo, Utah

Provider Information

NPI Number: 1871580829
Entity Type: Individual
Name: John Zachary, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 4, 2005
Last Updated: Apr 26, 2016

Practice Location

Address: 1055 N 300 W
Address 2: STE. 500
City: Provo
State: Utah
ZIP Code: 84604-3344
Phone: (801) 357-7291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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