Individual
ZACHARY INGERSOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2530 N 8TH ST STE 205, GRAND JUNCTION, CO 81501-8858
(970) 245-1500
Mailing address
7300 RANCH ROAD 2222, BUILDING 1, STE 200, AUSTIN, TX 78730
(512) 628-0465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DR.0065909
CO
390200000X
Student in an Organized Health Care Education/Training Program
5618
FL
Other
Enumeration date
06/21/2017
Last updated
02/24/2023
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