Individual
DR. ZACHARY GILES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61310557
WA
152W00000X
Optometrist
OPT-002354
AZ
Other
Enumeration date
07/08/2019
Last updated
10/28/2022
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