Individual
ZACHARY PHILLIP SOUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7254
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7254
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17237
NH
207P00000X
Emergency Medicine Physician
20A11709
CA
207P00000X
Emergency Medicine Physician
52081
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
09/04/2008
Last updated
08/27/2015
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