Zachory Fred Deiss MD

NPI 1033286422 - Family Medicine - 207Q00000X

NPI Details
NPI 1033286422
Gender Male
Enumeration Date 11/29/2006
Last Updated 10/22/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1522 E A ST
CASPER WY, 82601-2217, US
Phone (307) 234-6161
Fax
Business Location
1000 ROAD 9
POWELL WY, 82435-9225, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Wyoming
License Number 4193A
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According to our database, Zachory Fred Deiss MD NPI is 1033286422, taxonomy code is 207Q00000X and license number is 4193A, license state is located at Wyoming. Zachory Fred Deiss MD physically located at 1522 E A St, Casper WY, 82601-2217. NPI Number Zachory Fred Deiss MD has the Individual type.

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1033286422 NPI number is provided on an as is basis without warranty of any kind. 1033286422 is maintained by the National Plan & Provider Enumeration System. The contents of Zachory Fred Deiss MD are for informational purposes only.