Individual
DR. ZACHARY SMITH
Active
Individual
DR. ZACHARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2016007352
MO
207RG0100X
Gastroenterology Physician
34.012657
OH
207RG0100X
Gastroenterology Physician
Primary
60377
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003048976
—
WI
Enumeration date
08/11/2009
Last updated
06/16/2020
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