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Individual

ZACHARY T MIGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
47 DOC PERKES RD, AFTON, WY 83110-7703
(307) 885-3637
(307) 885-3638
Mailing address
740 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(208) 542-9111
(208) 542-9114

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60463399
WA
363A00000X
Physician Assistant
Primary
PA799
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA799
STATE
WY
Enumeration date
05/02/2014
Last updated
09/21/2020
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