Individual
ZACHARY BRYANT WARNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1951 BENCH RD, SUITE B, POCATELLO, ID 83201-2013
(208) 238-1000
(208) 238-0009
Mailing address
1951 BENCH RD, SUITE B, POCATELLO, ID 83201-2013
(208) 238-1000
(208) 238-0009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-11906
ID
Other
Enumeration date
06/15/2011
Last updated
05/28/2015
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