Individual
ZACHARY KIRK REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
700 W 800 N STE 220, OREM, UT 84057-6301
(801) 354-8205
Mailing address
1055 N 500 W ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12625666-1206
UT
Other
Enumeration date
01/03/2022
Last updated
02/01/2022
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