Individual
ZACHERY TYLER CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15083
NC
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
11559
AZ
363AS0400X
Surgical Physician Assistant
—
AZ
Other
Enumeration date
05/23/2024
Last updated
03/05/2026
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