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Individual
ZACKERY DAVID NANCE
Active
Individual
ZACKERY DAVID NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP167551
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006300
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194012989
—
WA
05
—
500670855
—
OR
Enumeration date
06/30/2011
Last updated
11/24/2025
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