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Individual

WILLIAM ZACHOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1102 E COMMERCIAL AVE, ANACONDA, MT 59711-2718
(602) 790-4221
Mailing address
PO BOX 877, ANACONDA, MT 59711-0877
(602) 790-4221

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A11228
CA
207Q00000X
Family Medicine Physician
2324
AZ
207Q00000X
Family Medicine Physician
Primary
25906
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
282947
AZ
Enumeration date
08/11/2010
Last updated
09/12/2014
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