Individual
ZACHARIAH GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 23RD AVE, GREELEY, CO 80634-6070
(602) 747-4000
Mailing address
6600 8TH ST UNIT 7103, GREELEY, CO 80634-1399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1083642680
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W166044
—
CO
Enumeration date
11/24/2021
Last updated
11/24/2021
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