| NPI Details | |
|---|---|
| NPI | 1588625701 |
| Gender | Male |
| Enumeration Date | 03/29/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 1875 N HIGHWAY 66 D CATOOSA OK, 74015-1829, US |
|
| Phone | (918) 379-6260 |
| Fax | (918) 293-3149 |
| Business Location | |
|---|---|
| PO BOX 1829 D CATOOSA OK, 74015-1829, US |
|
| Phone | (918) 379-6260 |
| Fax | (918) 293-3149 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 363AM0700X |
| License State | Oklahoma |
| License Number | 1316 |
| Remove 1588625701 NPI Number | |
According to our database, Zachary Robertson P.A. NPI is 1588625701, taxonomy code is 363AM0700X and license number is 1316, license state is located at Oklahoma. Zachary Robertson P.A. physically located at 1875 N Highway 66, Catoosa OK, 74015-1829. NPI Number Zachary Robertson P.A. has the Individual type.
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1588625701 NPI number is provided on an as is basis without warranty of any kind. 1588625701 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Robertson P.A. are for informational purposes only.
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