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Individual
MR. ZACHARY THOMAS HERTZEL
Active
Individual
MR. ZACHARY THOMAS HERTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11077377-1206
UT
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
11/16/2016
Last updated
11/03/2021
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