Zachary Fetterman

NPI 1487052486 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1487052486
Gender Male
Enumeration Date 12/08/2014
Last Updated 04/01/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2200 BERGQUIST DR
STE. 1
LACKLAND AFB TX, 78236-9907, US
Phone (317) 270-7075
Fax
Business Location
2200 BERGQUIST DR
STE. 1
LACKLAND AFB TX, 78236-9907, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Zachary Fetterman NPI is 1487052486, taxonomy code is 390200000X Zachary Fetterman physically located at 2200 Bergquist Dr, Lackland Afb TX, 78236-9907. NPI Number Zachary Fetterman has the Individual type.

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1487052486 NPI number is provided on an as is basis without warranty of any kind. 1487052486 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Fetterman are for informational purposes only.