Individual
DR. GREGORY CARL ZACHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0700
(540) 772-8159
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101053012
VA
207Y00000X
Otolaryngology Physician
Primary
0101053012
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010358957
—
VA
Enumeration date
05/24/2005
Last updated
10/21/2022
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