Individual
DR. ZACHARY DANIEL MIRONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2895 HAMILTON BLVD STE 101, ALLENTOWN, PA 18104-6172
(610) 330-9740
Mailing address
2895 HAMILTON BLVD STE 101, ALLENTOWN, PA 18104-6172
(610) 330-9740
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007323
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC007323
PA
Other
Enumeration date
04/08/2020
Last updated
06/13/2023
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