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Individual

RICHARD A ZAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-0504
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-0504

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DR.0046511
CO
207RG0100X
Gastroenterology Physician
G43123
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G431230
CA
01
100008933
RAILROAD MEDICARE
CA
Enumeration date
08/24/2005
Last updated
03/23/2017
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