Individual
ZACHARY OLIVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2002 W SUNSET DR, SUITE 1, RIVERTON, WY 82501-2283
(307) 856-7021
(307) 856-5546
Mailing address
1102 WEST SPRUCE STREET, RAWLINS, WY 82301-4850
(307) 370-9175
(307) 370-9177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATC-097
WY
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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