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Individual
JOSEPH R ZACHARKO
Active
Individual
JOSEPH R ZACHARKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03251
TX
363AM0700X
Medical Physician Assistant
PA03251
TX
363AS0400X
Surgical Physician Assistant
PA03251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8N7005
BCBS ID#
TX
Enumeration date
06/08/2006
Last updated
10/22/2007
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