Individual
MR. ZACHARY WILLIAM TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
370 9TH AVE, STE 205, SALT LAKE CITY, UT 84103-2877
(801) 408-8700
(801) 408-8732
Mailing address
5848 S FASHION BLVD, STE 110, SALT LAKE CITY, UT 84107-6175
(801) 314-4130
(801) 314-4015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3687691206
UT
Other
Enumeration date
07/12/2006
Last updated
03/30/2017
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