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Individual

DR. ZACHARY M. SHOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6900 FOREST AVE, SUITE 300, RICHMOND, VA 23230-1729
(804) 346-1515
(804) 273-6052
Mailing address
PO BOX 28780, RICHMOND, VA 23228-8780
(804) 346-1515
(804) 273-6052

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101239149
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010275008
VA
01
10009093
OPTIMA
VA
01
1320413
AETNA HMO
VA
01
193376
ANTHEM BCBS
VA
01
2156818
UNITED HEALTHCARE
VA
01
438929
SOUTHERN HEALTH
VA
01
7975750
AETNA NON-HMO
VA
Enumeration date
05/25/2006
Last updated
12/02/2012
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