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Individual
ZACHARY DUANE UNDERWOOD
Active
Individual
ZACHARY DUANE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03306
KY
207Q00000X
Family Medicine Physician
Primary
58002603
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000669303
ANTHEM BCBS
KY
05
—
2995362
—
OH
05
—
7100123500
—
KY
Enumeration date
09/09/2008
Last updated
01/06/2023
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