Individual
ZACHARY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, CAQ-PSYCH
Contact information
Practice address
4578 S HIGHLAND DR STE 250, MILLCREEK, UT 84117-4200
(801) 871-5009
Mailing address
3080 S 2075 E, SALT LAKE CITY, UT 84109-2415
(801) 871-5009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11453778-1206
UT
363AM0700X
Medical Physician Assistant
Primary
11453778-1206
UT
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11453778-1206
DOPL
UT
01
—
11453778-8906
CDS
UT
Enumeration date
09/12/2019
Last updated
06/15/2026
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